[Urethral stricture: complex surgery]

The optimal management strategy for urethral stricture remains controversial. The therapeutic indication and surgery technique are still as much an art as they are a science. It is often unclear which type of urethroplasty to perform under which particular circumstance, but some evidence basis for urethral surgery has been developed in the last 20 years at last. This article reports the options for urethroplasty at different sites in the urethra and for different types of stricture, indicating which procedure should be used in which circumstances according to best available publications on urethral stricture management.