Objective: To see the results of end-to-end anastomosis and stricture excision after spatulation in patients with blind urethral stricture. Study Design: A prospective study. Place and Duration: In the Department of Urology PAEC General Hospital, Islamabad for the 3-year duration from February 2016 to January 2019. Methods: Total 20 male patients over the age of 16 years having blind stricture of membranous or bulbar urethra ≤ 2 cm were selected for the study. We excluded patients with stricture greater than 2 cm, patients with neurogenic bladder stricture and patients with malignant strictures. About 2.5 years was the mean follow-up time and one year was the minimum follow-up time. Results: About 20 patients with stricture of the urethra with 20-44 years were managed. The results were good in 14 (70%) patients, moderate in 4 patients (20%) and urethroplasty failed in 2 (10%) patients. Overall 90% was the success rate. Conclusion: Anastomosis urethroplasty has better results in patients with blind stricture of the membranous or bulbar urethra.
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