In this episode we examine the practice of urethral dilations, once a common treatment for urethral strictures and other urinary issues. We delve into why this practice is now considered outdated and discuss the potential risks and complications associated with it. Our discussion highlights the latest research showing that pelvic floor physical therapy is a superior treatment approach for many conditions previously treated with urethral dilations. We explore how specialized exercises and targeted therapies can effectively manage and improve urinary health, often providing longer-lasting relief without the need for invasive procedures.