Medical schools with urology programs in Pennsylvania and New York are now instructing their progeny to perform a urethrotomy at first diagnosis of stricture for two primary reasons:
- First, it is thought to cause less scarring of the urethral wall, allowing for a more patent urethra with which to perform a future urethroplasty.
- Secondly, it is theorized that the stress of undergoing multiple dilitation routines may cloud the judgment of the novice stricture patient (who is most often in his late teens to mid-twenties). Performing a urethrotomy as the first surgical fix is thought to provide time for the patient to emotionally prepare for the eventuality which is urethroplasty, the "gold standard" of urethral repair options.
Per: Moderator Tim