OBJECTIVES: Limited articles are publis-hed on re-operative urethroplasty outcomes. We soughtto perform a systematic review of re-operative urethro-plasty articles over the past fifteen years.METHODS: A systematic review was performed on Pub-Med using the search terms “Urethra” AND “SurgicalProcedures, Operative” OR “Urethroplasty”.RESULTS: Five articles out of 3,541 articles identifiedbetween 1998 and 2012 specifically addressed re-operative urethroplasty patients. A total of 212 patientswere included in these five studies. Re-operative urethro-plasty success rates ranged from 35% to 84%. Successrates were higher in the two studies with over 40 pa-tients and ranged from 78-84%.CONCLUSION: Limited studies address re-operativeurethroplasty outcomes. Success rates for re-operationare lower than those for initial urethroplasty procedures.Overall, studies with a higher number of patients had anincreased success rate