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To the editor: The article by Tan et al. [1] is indeed interesting. This article is one of the rare reports about surgical risk factors associated with urethral stricture (US) occurrence after bipolar transurethral resection of prostate (B-TURP) using the Gyrus PlasmaKinetic Tissue Management System (Gyrus ACMI, Southborough, MA, USA). The results seem some interesting and were consistent with reports published before [2]. The results of their study indicate that slow resection rate appears to be associated with US formation after B-TURP [1]. We agree that B-TURP configuration creates a concentrated electrical energy and it has a greater potential to cause more thermal damage to the urethra. During tissue development, remodeling, and wound healing of the thermal injury site, US is caused by scar formation and fibrosis. However, one critical issue remains unclear. Author’s reported that 13 cases of US after B-TURP were identified in this cohort, giving a US rate of 3.5% [1]. Six of these 13 patients had B-TURP performed by a consultant urologist, while the remaining 7 patients had their surgeries done by a trainee in urology under the supervision of a consultant [1]. In our opinion, US can be influenced by the surgical skill of operators. Authors have to give a clear explanation about this matter. Letter to the editor: Urethral strictures after bipolar transurethral resection of prostate may be linked to slow resection rate