Objectives. Records were reviewed to examine the common features of bo
ys with noninfectious anterior urethritis, and to describe the underly
ing pathology. Methods. Five cases of anterior urethritis with feature
s typical of this syndrome are reviewed. Results. These cases demonstr
ate the typical appearance and in 1 case the pathologic diagnosis of s
quamous metaplasia of the bulbar urethra. Conclusions. Prepubertal ure
throrrhagia is associated with squamous metaplasia of the urethra. The
tendency to stricture formation may precede instrumentation of the ur
inary tract. (C) 1998, Elsevier Science Inc. All rights reserved.