ObjectiveTo discuss the feasibility and safety of a novel urethral dilation procedure using antegrade insertion of guide wire through suprapubic fistula (retrograde insertion failed) to facilitate retrograde dilation for treating early stricture following urethroplasty. MethodsThirteen patients, who failed to receive retrograde insertion, developed early stricture following urethroplasty. The guide wire was inserted through a pre-made suprapubic fistula to pass the stricture with the help of flexible cystoscope. Then the guide wire was used to guide polytef catheter to perform retrograde dilation. ResultsThe procedures were successfully done in all the 13 patients. The mean operation time was (10.7±3.18) min (8-17 min), and there were no serious complications. ConclusionThe present dilation procedure is an effective and safe method for management of early stricture recurrence following urethroplasty.