Since 1980, in addition to internal urethrotomy, the authors have used urethrotomy combined with endoscopic resection of the stricture. This method consists of a classical first stage of section of the stricture, but only at 11 o'clock and at 1 o'clock to leave a rail of midline fibrosis. The second stage consists of resection of this rail. The value of this approach consists of more effective excision of the fibro-inflammatory callus. Thirty-four patients treated by this method have a follow-up exceeding 5 years. This series was compared with a series of patients treated by internal urethrotomy alone (39 patients with a follow-up greater than 5 years). Very good results were obtained in 55% of cases versus 28% with internal urethrotomy alone. Poor results were obtained in 32% of cases versus 43%. Internal urethrotomy therefore appears to be more rapidly and more completely effective.
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