Purpose: To compare between ascending urethrogram and urethral ultrasound in the diagnosis and treatment of stricture urethra.Material: 40 male patients with proven stricture urethra were included in this study.Methods: Every patient was examined according to urological sheet ,complete lapratory investigation, abdominal ultrasound, KUB,IVP, ascending urethrogram, urethral ultrasound was done.After definitive treatment, all investigations were repeated after 3 and 6 months. Results: The age of patients ranged from 16-64 years old, average flow rate was 7.4ml/sec; inflammatory stricture was present in 25% of cases, stricture penile urethra was present in 62.5%of cases, stricture length was <5mm in 32.5% of cases as measured by ascending urethrogram ,while it was 5-8mm in 32.5% of cases as measured by urethral ultrasound.Urethral ultrasound diagnoses stricture urethra in 100% of cases while ascending urethrogram diagnoses 92.5% of cases.Spongiofibrosis was diagnosed only by urethral ultrasound.Recurrent stricture after 6 months was present in 22.2% of cases and cure was present in 44.4% of cases.Conclusion: urethral ultrasound should be the routine investigation of stricture urethra.