Meatal stenosis is narrowing of the urethral meatus, which is the opening of the urethra at the tip of the penis. It can occur because of repeated infection, phimosis or lichen sclerosis (BXO). Options for treatment of discreet, short strictures of urethal meatus are meatotomy or meatoplasty.
Meatotomy is incision of the urethral opening with subsequent placement of sutures at the edges.
Meatoplasty is augmentation of urethral meatus using either buccal mucosa or preputial skin flap.
Before going ahead with these procedures proximal urethra should be accessed for any stricture.