Urological Reconstruction

Endoscopic urethrotomy (cutting the stricture with a scope) is a simple procedure but has a high recurrence rate — particularly for strictures longer than 1.5 cm or those that have already been treated once. Studies show recurrence rates of 50–80% within 2 years for repeat urethrotomies. Urethroplasty — open surgical reconstruction using either the patient's own tissue or a buccal mucosal graft from the cheek — has long-term success rates of 85–95% and is the gold-standard for definitive treatment. If you have had two or more failed urethrotomies or have a long, dense stricture, your urologist will likely recommend urethroplasty. Our partner surgeons will review your urethrogram and history before you travel to confirm the optimal approach.