Objective: The study assesses the surgical outcomes in boys with lower urinary tract symptoms (LUTS) and symptomatic meatal urethral stenosis. Methods: This retrospective cohort study was conducted from July 2014 till December 2015. Thirty-two boys (aged 4–12 years) with Lower Urinary Tract Symptoms were examined for the presence of urethral meatus stenosis. The collected data were statistically analysed using Univariate and Multivariate analyses. Results: A significant improvement of urinary stream, urgency incontinence, urgency, and frequency were found after using an objective assessment tool with p-value ≤ 0.001. The assessment of surgical outcomes, following uncomplicated meatoplasty with objective noninvasive uroflowmetry, has been reported in the pediatric population. Conclusion: It highlighted the importance of urethral meatal stenosis diagnosis in boys with lower urinary tract symptoms. The novel contribution was made by assessing surgical outcomes following meatoplasty. However, further research is needed with larger sample cohorts. Highlights:
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