There is no common pathology in strictures of the external urinary meatus in men and women. These strictures have to be considered in their complexity and history with influential factors like additional diseases and previous surgical interventions. It is necessary to distinguish a simple situation from extensive findings. Successful therapy depends on the exact evaluation and classification of the stricture.

A novel technique is reported to relieve stenosis of the external urinary meatus in men and boys with lichen sclerosus. A total of 21 patients underwent the new operation of Malone in a 4-year period. The mean patient age was 41.7 years (range: 7-75 years) and mean follow-up was 3.4 years (6 months to 4.1 years). The procedure combines a small ventral with an extensive dorsal meatotomy and ends with an inverted V-shaped relieving incision to correct puckering caused by dorsal meatotomy. Patients were mailed a questionnaire asking if they were pleased with the functional and cosmetic results There were no complications or recurrences. A total of 18 patients replied to the questionnaires. All patients were pleased with the functional and 15 were satisfied with the cosmetic results. The technique relieves stenosis of the external urinary meatus in the short term.It is rapid and easy to perform, avoids a hypospadiac meatus and provides good results.

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