Meatotomy Home Care Instructions
A meatotomy is a procedure done to make the meatus larger. The meatus is the hole where urine passes out of the body.
What to expect after surgery:
- Most children are fussy after surgery. Parents will be invited to the Post Anesthesia Care Unit (PACU) soon after surgery.
- Your child may have some burning or stinging when passing urine for the next few days.
- There may be a small amount of blood on your child's underwear.
- There may be one or two stitches by the meatus. They will dissolve and will not need to be removed.
- There may be a small amount of swelling at the head of the penis.
- Your child may have a red/flushed look to his face and chest 1-2 hours after surgery. This blotchy, red color is a normal response to the medicine received in the Operating Room.
- Casual, quiet activity is allowed the day of surgery. Do not allow your child to use straddling or riding toys (such as a tricycle or hobby horse), climb trees, or play contact sports for one week after surgery. Ask the doctor about this at your child's post-op check-up.
- Your child may have some spraying when he urinates for up to one week after surgery.
- To relieve pain when your child passes urine, place him in a tub of warm water. It is all right for your child to pass urine in the tub.
- To help decrease discomfort, your child should drink six glasses of liquid each day for the next two weeks. This will dilute or “water down” the urine so it will sting less.
- Your child may return to school the next day.
- An antibiotic ointment may be used after surgery. Your child's nurse will instruct you about this if it is needed.
Call your child’s doctor if:
- Your child is unable to pass urine.
- Your child’s urine is red in color.
- You see thick yellow drainage around the stitches.
- Your child has a croupy (barky) cough/cry or wheezing.
- Your child's temperature is greater than 101.5°F rectally or by mouth. Slight fevers after surgery are normal. You should take your child's temperature at least once before bedtime tonight.
- Your child has vomiting that lasts more than six hours or the vomiting is severe. Your child's nurse will discuss this with you before your child goes home.
- There are signs of dehydration. Your child can become dehydrated when he has prolonged or severe vomiting and is not able to drink enough fluid to keep up with the loss.
Signs of dehydration:
- Dry mouth
- Decreased amount of urine, which means fewer wet diapers than usual in an infant/toddler
- Sunken look around eyes
- No tears when crying
Dilation of the Meatus
If your child's doctor has ordered for the meatus to be dilated, the nurse will go over this procedure with you. It should be done two times each day with the tip of the antibiotic ointment tube or dilator.
Follow these steps:
- Wash your hands.
- Squeeze ointment from the tube to cover the tip of the dilator.
- Insert the tip of the dilator into the meatus (hole). If you cannot insert the tip of the dilator into the meatus, call your child's doctor.
- Remove the dilator and clean the tip with a clean tissue.
- Wash your hands.
This handout is intended as a general guide for home care after surgery. Please follow specific instructions from your child’s doctor and call the office if you have questions. Use the phone number your child's nurse gives you.
Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.