Internal urethrotomy involves making an incision in the scar causing the stricture using a specialized instrument for cutting or using a laser. Dr. Marois will make an incision in the stricture with a special endoscope (urethrotome) which can be passed through the urethra to the stricture. A catheter may be left in the urethra to allow healing while keeping the stricture open. This can be very useful for stricture of the bladder neck or urethra. Following the procedure, there may be blood in the urine and blood leaking through the urethral meatus as well as some discomfort. Occasionally, an infection will require antibiotic treatment.