Patient with chronic dysuria and recurrent urethral strictures managed by visual internal urethrotomy, presented before 6 months with acute on top of chronic urine retention with creatinine level 14 mg/dl and was managed by suprapubic cystostomy. Then creatinine level declined to about 2.5~3 mg/dl.

Current examination shows high-grade urethral stricture blocking bulbar and posterior urethra. The patient is planned for posterior urethroplasty.