2 urethroplasties failed, options?

Hello. 1 month after TURP a stricture in my bulbar urethra showed. 0,5 cm, near sphincter. An internal urethrotomy was performed and I was stricture free for 2 years. After that, stricture reocurred, 3 cm this time. BMG (oral mucosa) urethroplasty was performed and I was stricture free only for 6 months. Uro did me a dillatation, but effect only lasted a week. So 6 months later (december of 2021) a second urethroolasty was performed, end to end anastomosis. 2 cm, really close to sphincter, my surgeon said he was really really careful stitching the extremes of the urethra for no damaging the sphincter. I developed a extreme hematoma (scrotum and penis) and I had to go to ER for a surgical draining. 21 days later catheter was removed, amazing flow, but 4 DAYS later flow returned to pre-op levels.

So here I am. I have uro appoinment on monday (3 months after surgery), but I don't know what options I have at the oresent time. If the stricture is thin, maybe urethrotomy or dilatation, if not, I don't know.

As stricture is now really clise to sphincter I dob't know if a third urethriolasthy could be performed and, anyway, I think it wouldn't work.

I am 47 years old, and I don't want to have a permanent catheter or ICD (intermitent clean auto-dilatation) 😦

What do you think? when I read "98% success urethroplasty" I only wanna cry. Thank you for reading me.

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