Commentary on: “Novel strategy using a spiral embedded flap for meatal stenosis after post- penile cancer amputation surgery: a single-center experience”.

Urethral stricture disease and stenotic complications of their repair remain challenging problems for urological surgeons. In recent years, there has been a drive to offer definitive reconstructive urethroplasty to men with recurrent urethral stricture disease to improve quality of life and avoid repeated dilatation and catheterization, the latter of which is also associated with recurrent urinary tract infections. However, stenotic complications are not limited to men undergoing surgery for urethral stricture disease (with or without lichen sclerosis) but also occur in those undergoing partial or total amputation of the penis with perineal urethrostomy for penile carcinoma. With advancements in oncological treatment and outcomes, improvements in survival are accompanied by issues of cancer survivorship. Stenosis of a perineal urethrostomy is a relatively rare yet challenging problem for which no established management guidelines exist...