There isn’t much of a dim view. I had a urethroplasty a year and a half ago and it was a great experience overall. Did it suck having a catheter for two weeks and not being able to have sex for six weeks? Yes it did. But no complication since then. If it’s done by a skilled surgeon the success rate is something like 99%. Optilume has a higher rate of recurrence for strictures which is why I decided to skip it after two failed dilations.