Do you offer early urethroplasty to a patient with an incidentally found short bulbar urethral stricture able to accommodate a 17Fr cystoscope who has no voiding symptoms, given that delayed intervention may allow stricture progression?

With no symptoms and able to accommodate a cystoscope, I would not. 17Fr cystoscope accommodation is a generally accepted marker of “success” after treatment. With that being a starting point, in this case, there would be little potential clinical benefit. I think these are the patients to follow cl...

I would not offer urethroplasty solely because an incidental short bulbar stricture might progress over time. If the patient has no voiding symptoms and the urethra easily accommodates a 17Fr cystoscope, I would generally observe rather than intervene. The best natural-history data suggest that many...