A 68-year-old Greek man was referred to our department for evaluation two years after an open retropubic RP. He presented with lower urinary tract symptoms and symptoms of urinary incontinence. His medical history was notable for hypertension and atrial fibrillation. Our patient was assessed with cystourethrography and cystourethroscopy and the presence of the anastomotic stricture was verified. An endoscopic cold-knife incision was performed successfully. Six months later, and after the recurrence of a urethral stricture was ruled out, our patient underwent an AUS placement for the management of incontinence. The decision to implant an AUS was taken after evaluating our patient with urethroscopy, during which a non-functioning external sphincter was observed. Our patient's post-operative course was uneventful. Our patient had regular follow-up visits with ultrasonography and was free of symptoms for a four-year period. Follow-up of our patient was performed with post-void residual and uroflow measurements. Three years after the implantation of the AUS, our patient was readmitted with voiding obstructive symptoms and the recurrence of the urethrovesical contracture was verified by urethroscopy. The AUS was deactivated at that time. Under general anesthesia, with our patient in the lithotomy position, an 11F Olympus rigid ureteroscope was passed to the area of the stenosis. A holmium:yttrium-aluminium-garnet (Ho:YAG) laser with a 365 μm end-firing quartz fiber was passed through the working channel at a setting of 1J with a frequency of 10 Hz (10W). This could be increased during the procedure according to the surgeon's preference. Deep incisions in the scar tissue were performed by direct contact of the laser tip until visualization of the peri-vesical fat. An 18F Foley catheter was then introduced and left in place for three days. Our patient again experienced a recurrence six months later. He was subjected to an endoscopic incision of the stricture with the use of a 9F pediatric resectoscope. Resection of the stricture was performed and an 18F Foley catheter was placed. Our patient was discharged two days later after removal of the catheter and evaluation of his urinary function. Six weeks later, the AUS was reactivated. Our patient has been recurrence free after an 18-month follow-up period.