I have had problems with a congenital urethral stricture for some time now with over 5 urethrotomies, with only temporary success. My stricture is extremely close to my involuntary sphincter muscle. This worries me greatly because of possible complications due to the location of the stricture. Dear Eric, As a rule the long term success rate of urethrotomies is poor. The more successful procedure in a young and healthy patient is primary urethroplasty.
Incontinence is a possible complication.
The length of the stricture is an important factor in the success of the procedure. Usually a shorter stricture has better outcome. The things you should ask your urologist is with respect to the success of urethroplasty in his hands, as well as the possible immediate post operative complications of the procedure as well as the long term issues. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.