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Abstract Only 4 patients in our study were subjected to simple careful dilation, 3of them had strictures following prostatectomy and the 4th, patient suffered an astride injury of the bulbar urethra with only partial urethral disruption. All patients were totally satisfied with their urine flow and all had good control of urine with disappearance of their symptoms Strictures of the membranous urethra following prostatectomy (TURP or enculeative)are particularly difficult because they compromise sphincter function in a patient who the prostate resection. The treatment least likely to cause further sphincter damage is careful urethral dilatation, which is less traumatic than urethrotomy or urethroplasty. The results of this study suggest that in the absence of local complicating factors to the site of the stricture or elsewhere in the urethra, dilatation is likely to control the stricture successfully and maintain reasonable continence in most cases after initial endoscopic evaluation. |