Meatal stenosis, a narrowing of the urinary meatus, can cause a variety of urinary symptoms that significantly impact daily life. The condition typically presents with a weak or narrow urine stream, often requiring straining to initiate or maintain the flow of urine. This can result in prolonged urination and a sensation of incomplete bladder emptying, leading to discomfort and frustration.

Another common symptom is spraying or splitting of the urine stream, which can make it difficult to direct the flow and cause hygiene concerns. Pain or burning sensations during urination are also frequently reported, resembling symptoms of a urinary tract infection (UTI).

Frequent urges to urinate, coupled with the inability to fully empty the bladder, may occur, leading to nocturia—waking up multiple times at night to urinate. This can disrupt sleep and contribute to fatigue. Recurrent UTIs are a potential consequence of incomplete bladder emptying, as stagnant urine creates an environment for bacterial growth.

In severe cases, individuals may experience visible swelling or redness around the meatus, accompanied by discomfort or pain at the tip of the penis. Left untreated, meatal stenosis can lead to complications such as bladder distension or kidney issues, underscoring the importance of early diagnosis and treatment.