I had anastomotic urethroplasty almost 9 years ago. In the first year of surgery doctor used to check every 3 months. He used to ask for uroflowmetry and then he used to insert dilators to calibrate my urethra. From the next year he asked for check up once in a year. In every follow up he used to insert dilator to calibrate the urethra. My flow was manageable if not very good. I had not much problem. Last week I went for routine follow up. My flow was manageable then also. In the last follow up which was last week he inserted dilator and said there is resistance in bulbar urethra. He asked me to go after one week. Then he again inserted dilator and said he could not dilate. So he asked me to do a uroflowmetry. Then on the same day I did uroflow and the q max came 20 ml per second. So the doctor said as long as flow is fine there is no need to do anything. My actual flow is not so good. It came so good because it was done after (incomplete?) dilatation. But my flow normally is manageable. My question is what if my flow reduces? What is the treatment option now? Can there be damage after dilation once a year?