Meatal stenosis is a known complication after circumcision due to the retraction of the mucosal epithelium and ischemic injury during the procedure, leading to narrowing of the urethral meatus. This narrowing results in a restricted urinary flow, which clinically presents as a narrow urinary stream. Patients may also experience spraying of urine or difficulty voiding, but the hallmark is the altered stream caliber. Other symptoms like pain, hematuria, or curvature are not typical presentations of meatal stenosis. Early recognition allows for timely intervention, often via meatotomy, to restore normal urination.

Reference: Campbell-Walsh Urology, 12th Edition.