How do you decide between an endoscopic and open approach for a patient with a 1.5 cm distal ureteral stricture 6 months postoperatively following renal transplant?

Based on the length of the stricture, I would start with endoscopic management and follow up with appropriate studies (Lasix renogram, voiding cystourethrogram [VCUG]). If endoscopic management failed and there were no comorbidities that preclude surgery, I would recommend a reconstructive procedure...