My 9 year old son has brought to our attention over the last 4 to 6 months that he has had trouble urinating. He says he gets the sensation to go but nothing or little comes out. He gets very uncomfortable and frustrated.
The pediatrian ruled out infection. He sent us to a Pediatric Urologists. They inserted die in him (using a neo-natal size tube) and took x-rays. The urologists look at the x-rays and said there looks like a little tissue might be causing a blockage but the main problem seems to be his opening is very tiny. (He examined him quickly).
He said that this might be from when he was circumsized, which may have left some scar tissue. He scheduled a surgury for one month from now to open the area up. And then he left with no other explaination or time for me to ask questions.
Does this sound necessary? Is it common? What's it's technical name? Are there any other alternatives? Will this affect his ability to reproduce later on? Should we get a second opion?
Meatal stenosis is a very common problem that is seen in boys that have been circumcised. It is not a result of a poor circumcision, but rather a result of the irritation experienced by the tip of the penis and meatus causing a scar to form and narrow the outflow opening. If the penis is not circumcised, the prepuce or foreskin protects the meatus. No, you do not need a second opinion, but I would recommend that you have it fixed. It is a rather simple procedure, but it does require an anesthetic. Most doctors will incise the scar and place absorbable stitches in the meatus preventing the scar from reforming. No, there is no other good alternatives if the meatus is truly stenotic (narrowed). It would be possible to dilate the opening but this causes pain and often does not eliminate the problem. There should be no affect on his fertility in the future nor will there be any long-term complications.
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