Controversy
Many leading urologists in the United States consider urethrotomy to be (almost) totally ineffective at providing long-term resolution of urethral stricture disease, and advocate excision of the damaged area followed by either a surgical anastomosis of the (now) patent urethral ends, or a grafting of similar tissue harvested from elsewhere on the patients body.
The cost-effectiveness of the procedure has come into question. In the May, 2006 issue of "Urology", a study undertaken by the Urology Department of the University of Washington essentially concluded that there is a statistical correlation between the length of the stricture and the cost versus benefit ratio of subsequent urethrotomies performed prior to the performance of urethroplasty in males suffering from bulbar srictures.
Read more about this topic: Urethrotomy
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