Urethral stricture disease

Urethral stricture disease affects many men worldwide. A number of options exist for the treatment of this disease ranging from the more simple intermittent self dilatation, urethrotomy and dilatation, to the more technically demanding anastomotic and substitution urethroplasty. We discuss the aetiology, presentation, investigation and management of this disease. With a better understanding of the underlying pathophysiology and by adequately investigating the patient an informed decision may be made leading to good patient satisfaction and surgical success rates.