The most common complication of the open urethral stricture operation was stricture recurrence. Even though a very discreet band like strictures will be effectively treated with a simple cut or incision, failed repairs were usually very troublesome as succeeding re-do repairs were very complex, & the reconstructive surgical treatment options were usually limited.
It needs to be emphasized that the success of the open urethroplasty was very dependent on the surgical treatment & the expertise of the doctor. When urethral operation was not properly done, early recurrence of the stricture was very common barrier.
The major difficulty in treating the urethral strictures were that they will have the tendency to recur, & the likelihood of the recurrence relates very much to the kind of the treatment used to eliminate the problem. Urethral dilation was the easiest & simplest way to treat the stricture. Here, the stricture was stretched to a larger size, & this can usually be done. The problem was that the stricture will be recur to some degree about 80% of the time & thus dilation were commonly leads to repeat dilations.
Because of the fact that the dilation have such a high recurrence rate, & that every dilation tends to lead to the longer stricture, at USW advocate incising the stricture by performed under the anesthesia. This was a simple, outpatient method where the scar was cut with the hope then that healthy tissue will be fill in the incision. Patient needs to wear a catheter for a day or 2 days at home, but the risk of recurrence was less than the dilation at 30-50%.
The main definitive way to treat the urethral strictures was with the surgery. Here, the diseased urethra will be reconstructed with a healthy tissue like as penile skin or the lining of cheek. This will be much more involved than the dilation or incision, & may require a short stay in the hospital & catheterization for at least one week. Even though, urethral reconstruction was far more perfect than the other options described above. Recurrence rate was characteristically less than 10%.