In long segment strictures or dense strictures recuuring after OIU, urethroplasty is recommended. It has long term better results compared to OIU. Urethroplasty can be:
The diseased/ scarred part of urethra( stricture) is cut out and the remaining ends of urethra are joined together using fine sutures.
In this the mucosal tissue from inside the cheeks of the patient is used to create a new urethra. The results of this procedure are excellent.