Meatal stenosis is a narrowing of the opening of the urethra, on the glans or tip of the penis. The urethra is the tube through which urine leaves the body.
If your son has meatal stenosis, the opening (meatus) on the tip of his penis is very tight, which can make it difficult and often painful for him to urinate (pee). He may urinate with a deflected or small urinary stream.
In addition, it may take a very long time for him to finish urinating. Urinary tract infections (UTIs) may be more common, and even without an infection, your child may complain of burning or discomfort when urinating.
In order to make the opening on the penis larger so that your child can pee freely, your Nemours urologist will perform what’s called a meatotomy or meatoplasty, an outpatient operating room procedure that takes about a half an hour.
From Nemours' KidsHealth
- Recurrent Urinary Tract Infections and Related Conditions
- Kidneys and Urinary Tract
- What Can I Do About My Child's Bedwetting?
- Urine Test: Dipstick
- Ultrasound: Renal (Kidneys, Ureters, Bladder)
- Urinary Tract Infections
- X-Ray Exam: Voiding Cystourethrogram (VCUG)
- Urine Test: Protein
- Urine Test: Calcium
- Urine Test: Creatinine
- A to Z: Cystitis
- A to Z: Edema
- A to Z: Neurogenic Bladder
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Urine Test: Calcium
What It Is
A urine calcium test is done to determine how much of the mineral calcium is being excreted in the urine (pee) by the kidneys.
Why It's Done
A urine test for calcium is often done to:
- help find the cause of kidney stones and other kidney diseases
- detect overactivity or underactivity in the parathyroid glands (glands in the neck that make hormones that help control the level of calcium in the blood)
- monitor disorders of the kidney and diseases of calcium metabolism
The test results also may point to digestive disorders that harm the small intestine's ability to absorb nutrients. The urine calcium test is usually used in combination with other tests to make a specific diagnosis.
The doctor might prescribe a special diet with high or low levels of calcium for a few days before the test. Your child might need to temporarily stop taking specific drugs, such as antacids, that affect calcium levels in the urine.
Collecting the specimen should only take a few minutes. Your child will be asked to pee into a clean sample cup in the doctor's office. If your child isn't potty trained and can't urinate into a cup, a small catheter may need to be inserted into the bladder to get the urine specimen.
Alternatively, a urine collection bag with adhesive tape on one end may be used to collect a sample from an infant. You'll clean your baby's genital area and then arrange the bag around the urinary opening. Once the bag is in place, secure it with the attached tape. You can then put a diaper on your baby. Check your baby's collection bag and remove it after your child has urinated, usually within an hour.
After you bring the sample to the lab, technicians will analyze it for calcium content.
What to Expect
Because the test involves normal urination, there shouldn't be any discomfort as long as your child can provide a urine specimen.
Getting the Results
The results of the urine calcium test are usually available in 1-2 days. Your doctor will go over the results with you and explain what they mean. If abnormalities are found, your doctor may may want to do further tests to make a specific diagnosis.
Infants may occasionally experience skin irritation from the adhesive tape on the collection bag. If a catheter is used to obtain the urine, it may cause temporary discomfort. If you have any questions or concerns about this procedure, talk to your doctor.
Helping Your Child
Urine collections are usually painless. Explaining how the test will be conducted and why it's being done can help ease any fear. Make sure your child understands that there should be no foreign matter, such as toilet paper or hair, in the sample.
If You Have Questions
If you have questions about the urine calcium test, speak with your doctor.
Reviewed by: Yamini Durani, MD
Date reviewed: September 05, 2017