Dorsal onlay urethroplasty using buccal mucosal graft and vaginal wall graft for female urethral stricture – Outcome of two-institution study

Kore, Rajiv Nilkanth; Martins, Francisco E.

doi:10.4103/iju.iju_329_21

Cited by 5 publications

(8 citation statements)

References 20 publications

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“…Endoscopic management is most commonly the first treatment given the technical ease and relative low risk of dilation; however, this has not been shown to hold longterm symptom relief [3]. Our series adds to the growing body of data on patients with FUSD (Table 3) [4][5][6][7][8][9]. Dorsal BMG urethroplasty is successful in treating FUSD with low complication rate.…”

Section: Discussionmentioning

confidence: 88%

“…Khawaja et al in a prospective trial of 25 patients that underwent dorsal BMG urethroplasty reported a (92%) success with no incontinence at an average follow-up of 25.5 months. [ 6 ] Hampson et al published a multi-institutional retrospective experience of 39 dorsal BMG urethroplasties performed by 6 high-volume reconstructive surgeons over a 10 year period [ 7 ]. Average follow-up was 33 months and recurrence rate was 23%.…”

Section: Discussionmentioning

confidence: 99%

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Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

et al. 2023

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Purpose Female urethral stricture disease is frequently unrecognized or misdiagnosed, with controversy in the literature regarding the definition of strictures and approach to management. The purpose of this study is to report our institutional experience with female urethroplasty and add our experience to the growing body of research. Methods We performed a retrospective review of patients undergoing female urethroplasty with dorsal onlay BMG at the University of Colorado between March 2015 and December 2021 performed by two surgeons (BF and JO). The primary outcome measure was surgical success, defined as no stricture recurrence. The secondary outcome measure was the incidence of de novo urinary incontinence. Results 23 patients were included in our data analysis. The median duration of lower urinary tract symptoms prior to urethroplasty was 16 years. 87% had undergone previous dilations. At a median follow-up of 12.2 months (range 1–81 months), four patients required a secondary procedure for obstruction with an overall success rate of 83%. One patient developed de novo stress urinary incontinence and one patient developed urge urinary incontinence. Subgroup analysis was performed comparing the patients that developed stricture recurrence (N = 4) to those that did not (N = 19). Those with stricture recurrence had a longer duration of symptoms and more dilations prior to urethroplasty. Conclusion Female urethroplasty with BMG is effective at treating female urethral stricture disease, with excellent outcomes at over a year of follow-up and minimal risk of stress incontinence postoperatively.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

et al. 2023

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“…A few of literatures reported their cases of dorsal urethroplasty with buccal or lingual mucosa. All of them showed high success rates and low complication rates ( 3 , 10 , 16 , 22 – 18 ). In 2019, Hampson et al reported 39 cases of DBMG urethroplasty from multiple centers, which is the largest series for this technique ( 17 ).…”

Section: Current Literaturesmentioning

confidence: 94%

“…Gomez et al and Kore et al reported their detailed description of the technique ( 3 , 16 ). The patient was under general anesthesia and in lithotomy position.…”

Section: Surgical Techniquementioning

confidence: 99%

Dorsal oral mucosa graft urethroplasty for female urethral stricture reconstruction: A narrative review

Tao

Jin²,

Zhang³

2023

Front. Surg.

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Female urethral stricture is currently a challenging situation. In general, urethra dilatation can be selected for treatment, but the complications and high recurrence rate urge doctors to consider other treatments. Recently, dorsal oral mucosa graft urethroplasty is concerned by more and more surgeons, but there are not enough reports so far. A comprehensive search of dorsal oral mucosa graft urethroplasty was performed. According to the existing literature, there are applications of buccal mucosa and lingual mucosa, and compared with other kinds of grafts, the success rate is higher. However, there is a lack of multicenter, large sample and long follow-up studies. And there is still no enough comparative study between different types of oral mucosa. In summary, dorsal oral mucosa graft urethroplasty is an effective option for the management of female urethral stricture. More multicenter and large sample studies with long-term follow-up data are needed.

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“…The repeated instrumentation has impacted the etiology of the FUS. It became iatrogenic 1 . The breach in the mucosa is as a result of the repeated instrumentation trauma.…”

Section: Introductionmentioning

confidence: 99%

Dorsal Onlay Urethroplasty Using Buccal Mucosal Graft and Vaginal Wall Graft for Female Urethral Stricture; Outcome of a Tertiary Care Hospital

Hassan¹,

Siraj²,

Khan³

et al. 2022

PJMHS

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Background: Normally female urethral stricture (FUS) is uncommon and underdiagnosed condition. It is raising a diagnostic challenge for the physicians. It is the one of the rarely known urological entity. Urethral dilatation is the traditionally used treatment for urethral stricture (FUS). The female urethroplasty have shown the promising outcomes. Objective: The objective of the study was to compare the outcome of the dorsal onlay urethoplasty FU obtained by using buccal mucosal graft and vaginal wall graft. The FU is more effective treatment for female urethral stricture (FUS) as compared to the repeated dilatation. Study design: It is a retrospective study with the statistical approach, conducted at Urology Department, Pakistan Institute of Medical Sciences Islamabad from June 2021 to November 2021. Material and Methods: The women who underwent the dorsal onlay urethropasty at the urology department of the hospital were included in the study. The outcomes of BMG and VWG were compared. The re-intervention was marked as failure. The association symptom score, postvoid residual urine (PVR), cystourethrogram, cystoscopy and uretheral calibration were included in the assessment. Operating time, catheter time, etiology, location, length, prior interventions and suprapubic cystostomy were the other parameters that was also reported. For the statistical analysis the Mann-Whitney test, t-test and proportion test was performed. Results: The calculated mean age of the patients included in the group was 48 years. Its range was between the 26 to 76 years. The women visited the urology department of the hospital from June 2021 to June 2022. The average follow-up was for 26 months. The AUA symptoms changes from 22 to 6, Qmax from 4ml/s to 26ml/s and RVR from 185ml to 7ml. The operating time was the only parameter showed the difference, while other remained the same. The 94% was the overall urethral patency rate. Conclusion: For the substitution of dorsal onlay urethroplasty the use of VWG and BMG is highly recommended. It is an efficient and reliable treatment method. There are very low chances of complication and it has an easy protocol. Apparently, no specific change was observed in the FUS treatment by BMG and VWG. Keywords: Female urethral stricture (FUS), buccal mucosal graft, vaginal wall graft, postvoid residual urine (PVR), dorsal onlay urethroplasty.

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Dorsal onlay urethroplasty using buccal mucosal graft and vaginal wall graft for female urethral stricture – Outcome of two-institution study

Cited by 5 publications

References 20 publications

Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

Dorsal oral mucosa graft urethroplasty for female urethral stricture reconstruction: A narrative review

Dorsal Onlay Urethroplasty Using Buccal Mucosal Graft and Vaginal Wall Graft for Female Urethral Stricture; Outcome of a Tertiary Care Hospital

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