Modern approaches to the treatment of male urethral strictures

Therapeutic results in 172 male patients treated for urethral strictures are analysed. The strictures were observed after Johanson's reconstruction (19.4%), Blandy's urethroplasty (15.2%) and optical urethrotomy (15.9%), respectively. In optical urethrotomy and the two-stage urethroplasties about the same percentage of strictures was seen. Since optical urethrotomy is a simple operation, it is indicated primarily in the majority of patients. However, it cannot cure all strictures, thus it is necessary to master also the other therapeutic procedures, of which some are also indicated as a primary therapy. The authors present their own indications for the individual therapeutic procedures.