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In boys the meatus is the opening through which urine passes. Sometimes, particularly in circumcised boys, irritation of the tip of the penis causes scar tissue to form around the meatus, making it smaller. Meatal stenosis is relatively rare. Boys with meatal stenosis have a narrowed and abnormally directed urinary stream. The stream is directed upward toward the ceiling , making it difficult to urinate into the toilet without pushing the penis down between the legs.
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Meatal Stenosis | Cleveland Clinic

The Public Education Council improves the quality of resources the Foundation provides. The Council serves to develop, review and oversee the educational materials and programs the Foundation provides. Charitable Gift Planning is a powerful way to ensure your legacy in advancing urologic research and education to improve patients' lives. We provide free patient education materials on urologic health to patients, caregivers, community organizations, healthcare providers, students and the general public, pending availability.
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Meatal stenosis

In meatal stenosis the meatus, or opening at the tip of the penis, becomes narrower. This condition can be present at birth or it can occur later in life, usually between ages three and seven. Meatal stenosis is almost always seen in males who have been circumcised. Circumcision is the surgical removal of the foreskin over the tip of the penis. It is rare for uncircumcised males to have meatal stenosis.
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Hypospadias pronounced hype-oh-spay-dee-us is a birth defect in boys where the opening of the urethra the tube that carries urine from the bladder to the outside of the body is not located at the tip of the penis. Click here to view a larger image. Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. In boys with hypospadias, the urethra forms abnormally during weeks 8—14 of pregnancy.
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