Dorsal Onlay Vaginal Graft Urethroplasty for Female Urethral Stricture; Case Reports of Four Patients in Tertiary Care Centre

Abstract

Female urethral stricture is an underdiagnosed and overlooked cause of female bladder outlet obstruction. It is uncommon and difficult to diagnose. The possible etiologies may be infection, prior dilation, difficult catheterization with subsequent fibrosis, urethral surgery, trauma or idiopathic. Currently, only a small amount of literature has reported the successful treatment of female urethral stricture using a reconstruction approach. In this study we describe our results with the management of female urethral stricture using a dorsal vaginal graft. Four patients were diagnosed with female urethral stricture and were treated with urethral reconstruction using a dorsal vaginal graft. Primary urethroplasty using dorsal vaginal graft can be considered as a first-line option in the management of female urethral stricture, especially in centers with experience in graft-based reconstruction.