Editing AUA: Urethral Stricture Disease (2023) (section)

====Options====
#'''Endoscopic'''
##'''Urethral dilation'''
##'''Direct visual internal urethrotomy [DVIU]'''
#'''Immediate suprapubic cystostomy'''
*Dilation and DVIU have similar success and complication rates
*Dilation
**Dilation over a guidewire is recommended to prevent false passage formation or rectal injury
**If the stricture is too dense to be adequately dilated, internal urethrotomy may be performed
*DVIU
**Different methods of performing DVIU, but cold knife and laser incision of the stricture scar appear to have similar success rates and may be used interchangeably
**Pharmacological agents (mitomycin C, steroids) may be injected into a urethral stricture at the time of DVIU to reduce risk of stricture recurrence.
*if these initial maneuvers are unsuccessful, or when subsequent definitive treatment for urethral stricture is planned in the near future, SP cystotomy may be performed