A 5-year-old male child is brought to the pediatric clinic by his parents, who are concerned about his difficulty urinating. The parents report that over the past few months, the child has been straining during urination, and his urine stream has become progressively weaker. Occasionally, the child experiences a split urine stream. His urinary habits are normal in frequency, but he has recently started complaining of discomfort during urination.

On physical examination, the pediatrician notices that the child’s external urethral meatus appears narrower than usual. There is no evidence of swelling, infection, or fever. Further examination reveals no other abnormal findings, and the child is otherwise healthy.

A diagnosis of stenosis of the external urethral meatus is made. This condition involves narrowing of the opening of the urethra, which leads to obstructed urine flow. The stenosis may be congenital or acquired, and in this case, the condition seems to be gradually developing, likely causing the difficulty with urination and weaker urine stream.

The pediatric urologist is consulted, and the family is informed that the condition can often be treated with minor surgical intervention. In this case, a meatal dilation procedure is recommended to widen the urethral meatus and alleviate the urinary symptoms. The procedure is typically performed in an outpatient setting and is followed by a course of gentle dilation if necessary. The family is reassured that with appropriate management, the child is expected to recover fully and resume normal urination. A follow-up plan is made to monitor the child's progress and ensure there are no complications.