الفهرس 
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Abstract
Our study was on 50 patients (37 patients complaining from anterior urethral stricture and 13 complaining from posterior urethral distraction disease)
I. Results of management of anterior urethral stricture:
The optimal management of anterior urethral stricture is still widely debated, and the long term results of different surgical techniques have seldom been analyzed properly. We believed that in dealing with urethral stricture, there is no single universal curative technique suitable for all cases, on the contrary, each individual case implies the appropriate procedure to be used, and the management should be tailored to suit the merits of every case.
37 patients complaining from anterior urethral stricture:
27 cases underwent VIU; success rate was (26%) 7 cases, with recurrence rate (74%) 20 cases.
(5 cases plus the 9 recurrent cases from the VIU underwent urethroplasty) = 14 cases; with success rate (78%) 11 cases and re-operation rate (22%) 3 cases.
5 cases underwent urethral stent placement; the success rate was (20%) 1 case.
In penile urethral stricture, endoscopic urethrotomy is not recommended because of the thinness of the urethra and the risk of fluid leakage, exposing to the occurrence of penile curvature and recurrence of more aggressive stricture. Also, the anastomotic urethroplasty is contraindicated as it leads to penile shortening or chordee. Therefore, substitution is always necessary for reconstruction of penile urethral stricture.