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Bougienage is one of the oldest procedures for the treatment of HRS. Here, the urethral stricture is dilated under local anesthesia by means of a probe..

This procedure causes innumerable microlesions in the stricture, which result in renewed scarring. The bougienage therefore always has only a temporary effect on the stenosis. Repeated treatments thus do not cure urethral stricture. They are therefore neither medically effective nor economical in the long term.1 As a rule, recurrence of the stricture can be expected after four to six weeks at the latest.2 This surgical technique should therefore be used primarily in older patients or those considered inoperable.3

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1 Greenwell et al. Repeat urethrotomy and dilatation for the treatment of urethral stricture are neither clinically effective nor cost-effective.
2 Tritschler et al. Harnröhrenstrikturen – Ursachen, Diagnose und Therapien. Deutsche Ärzteblatt. 2013; 110(13):220-226.
3 Hofmann Endoskopische Urologie. Atlas und Lehrbauch. 2. Auflage.Springer Medizin Verlag. Heidelberg. 2009.