Introduction: Urethral stricture disease poses significant challenges, particularly in developing countries like the Philippines, where limited access to healthcare amplifies the negative impact on patients, necessitating repeated and costly treatments. Open surgical procedures like BMG and EPA offer promising outcomes . This study aims to show the outcomes of these two techniques in the context of a developing country.

Methods: A retrospective study involving 209 patients underwent EPA or BMG urethroplasty at EAMC from July 2019 to October 2024.. Patient demographics, stricture characteristics, and postoperative complications were documented. The study focused on male patients within the age range of 13 to 89 years. Mean follow-up was 14.1 months.

Results: The patient cohort exhibited diverse demographics and varied etiologies. EPA urethroplasty demonstrated a success rate of 88.5% with an 18.5% complication rate, consistent with previous studies. BMG urethroplasty, despite longer strictures (mean length 5.5 cm), exhibited a notably higher success rate of 94.1% with a low 11.4% complication rate. The study outcomes align with existing literature, showcasing the efficacy of BMG urethroplasty.

Conclusion: The notably high success rate and minimal complications associated with BMG urethroplasty suggest its potential as a preferred technique. Tailored approach based on patient characteristics is still recommended.