Meatal stenosis refers to an abnormal narrowing of the opening of the urethra, which can lead to difficulty urinating and incomplete emptying of the bladder. The condition commonly affects circumcised boys, and one possible cause is prolonged exposure to urine and rubbing of the flesh against clothing or diapers, resulting in irritation and scarring. Common symptoms of meatal stenosis include painful urination, straining during urination, frequent urination, thin urine stream, sprinkling with urine, upward turning of the urine stream, and blood in the urine. Treatment of meatal stenosis involves mitoplasty or mitotomy. Mitoplasty involves opening or widening the meatus by making an incision at the urethral opening and placing a vascularized flap, typically from the prepuce or surrounding penile skin, to prevent recurrence of the stricture. Mitotomy, on the other hand, involves making a small incision in the flesh to widen it, and the cut margin is either sutured with dissolvable sutures or left alone to heal. The surgeon will discuss with you the best treatment plan for your child. Some children may need to open the urethra after these procedures to prevent recurrence of the stricture.