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

=====Meatal or Fossa navicularis=====
*'''<span style="color:#ff0000">Initial treatment of uncomplicated urethral stricture confined to the meatus or fossa navicularis: simple dilation or meatotomy,</span>''' with or without guidewire placement
*'''<span style="color:#ff0000">Completely obliterated strictures or associated with previous hypospadias repair, prior failed endoscopic manipulation, previous urethroplasty, or LS: urethroplasty'''
**Meatal and fossa navicularis strictures refractory to endoscopic procedures are unlikely to respond to further endoscopic treatments.
**Some patients may opt for repeat endoscopic treatments or intermittent self-dilation in lieu of more definitive treatment such as urethroplasty.
*Options for the surgical treatment of meatal and fossa strictures
**Meatoplasty
**Extended meatotomy
**Variations of urethroplasty
*Important to consider both aesthetic and functional outcomes when reconstructing strictures involving the glanular urethra.