This condition is treated with surgery, called a meatoplasty. An incision is made below the meatus to open it or make it wider. Surgery is performed in the operating room under general anesthesia but may also be done using a local anesthetic in the office.
If done in the operating room, an incision is made in the meatus and dissolvable sutures are placed around the meatus. If done in the office, a small incision is made in the meatus, but does not place any sutures.
If the narrowed opening is not fixed, it can harder to urinate, and cause urinary tract infections, and swollen kidneys.