[Repeated internal urethrotomy in male urethral stricture]

The results of further treatment of 40 patients with recurrence of urethral stricture following internal urethrotomy are assessed. Repeat internal urethrotomy was often successful even in cases presenting with extensive stricture, multiple stenoses or stenosis in an unfavourable site. Altogether 47% of the patients remained recurrence-free after the second attempt at internal urethrotomy. Open surgery was necessary in 3 patients. In old or unfit patients who could not be subjected to open surgery internal urethrotomy was performed up to 5 or even 6 times. This operation is often preferred by patients to conservative forms of treatment such as bougienage or an indwelling catheter. It is tolerated well, even on a repeated basis and the complication rate is low.