Aims-To compare therapeutic efficacy of Classical Rail road technique and Modified cystoscopic Rail road technique in management of complete urethral rupture. Material and method-In this study,50 patients of complete urethral rupture are divided into two groups, one group (25 patients) is treated by Classical Rail Road technique while another group (25 patients) is treated by Modified cystoscopic Rail road technique. After the treatment, regular follow-ups at 7 days, 15 days, 1month, 3 months are taken. During each visit patients are monitored for retention of urine, urinary complaints, recurrence of urethral stricture. Observation and results-There is significant difference of p value (p<0.05) in hematuria, urinary tract infection and S.P.C. healing in follow-up after 7 days and highly significant difference of p value(p<0.001) in thin stream of urine, stricture in cystoscopy & double stream of urine in follow-up after 15 days. This indicate M.C.R.R.T. is better than C.R.R.T. Conclusion-Modified cystoscopic rail road technique is totally under vision of surgeon so better approximation of disrupted end of urethra so there are less complications. Patient of traumatic rupture of urethra should be manage by modified rail road technique as per our study.