During the past few years, I have needed a suitable meatotomy knife for the proper performance of meatotomy in male babies, young children, and even in adults with pin-point or very fine meatus. I have hitherto employed a sharp-pointed urethral knife with a very narrow blade and with a long handle made for use with the endoscope. This was just a makeshift to accomplish the purpose and its use was objectionable because of the sharp point which had to be passed within the urethra.
A few cases of retention of urine in babies could be relieved only by the passage of a small ureteral catheter, and would usually recur until I used the urethral knife just mentioned.
To my knowledge, the only small knife on the market is the Otis, with a belly-like blade and with a metal bulb at the tip. This cannot be passed