Objectives: Records were reviewed to examine the common features of boys with noninfectious anterior urethritis, and to describe the underlying pathology.
Methods: Five cases of anterior urethritis with features typical of this syndrome are reviewed.
Results: These cases demonstrate the typical appearance and in 1 case the pathologic diagnosis of squamous metaplasia of the bulbar urethra.
Conclusions: Prepubertal urethrorrhagia is associated with squamous metaplasia of the urethra. The tendency to stricture formation may precede instrumentation of the urinary tract.