Female urethral stricture disease

Keegan, Kirk A.; Nanigian, Dana K.; Stone, Anthony R.

doi:10.1007/s11934-008-0071-7

Cited by 64 publications

(50 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No se registró complicación alguna relacionada con la reparación. La estancia media hospitalaria fue 2,3 (1-5) días y el tiempo de mantenimiento postoperatorio del catéter (22 Ch) de 12,3 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) días. Las pacientes fueron evaluadas tras la cirugía con un seguimiento medio de 34,3 (12-55) meses, encontrándose sin incontinencia, sin síntomas obstructivos y con resultados cosméticos y funcionales (residuo, flujo máximo) satisfactorios (tabla 1).…”

Section: Resultsunclassified

“…El abordaje quirúrgico que proponemos difiere bastante del de la estenosis uretral femenina debida a liquen o a otras etiologías inflamatorias, que suele ser más distal y tener menos grado de fibrosis periuretral 11,12 . Además, en estos casos tampoco puede emplearse el colgajo de rotación vaginal convencional descrito por Palou et al 13 y popularizado por Schwender et al 14,15 , puesto que la pared vaginal anterior a nivel suburetral se encuentra severamente dañada, adelgazada y, en ocasiones también, erosionada o incluso ausente.…”

Section: Discussionunclassified

See 1 more Smart Citation

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

et al. 2011

View full text Add to dashboard Cite

Section: Resultsunclassified

Section: Discussionunclassified

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

et al. 2011

View full text Add to dashboard Cite

“…We consequently used a value of ≤ 18 F. The ultimate diagnosis was made on criteria similar to those reported by Keegan et al . [ 25 ] , being a combination of symptoms, urethral meatal appearance, a history of diffi cult instrumentation with supportive urodynamic testing. The urodynamic studies seemed to support the clinical impression and were very similar to those stated by Nitti et al [ 26 ] .…”

Section: Discussionmentioning

confidence: 99%

Dorsal vaginal graft urethroplasty for female urethral stricture disease

et al. 2012

View full text Add to dashboard Cite

Study Type – Therapy (case series)Level of Evidence 4What's known on the subject? and What does the study add?Female urethral stricture disease has been described for almost 200 years. The symptoms of female stricture disease may range from clinically insignificant to severe and debilitating with the exact aetiology being unclear. No strict criteria for diagnosis have been established with the diagnosis often relying on a combination of presenting symptoms and objective findings. Initial therapy for female urethral stricture disease has often rested on urethral dilatations and self‐intermittent catheterisation with surgery reserved for patients that failed conservative measures. Female urethroplasty currently is a topic of increasing attention with multiple surgical approaches described including use of both grafts (vaginal wall, buccal mucosal membrane, lingual mucosa, and labia minus) and flaps (vaginal vestibule, anterior vagina, and lateral vagina).We describe our approach to female urethroplasty using a suprameatal (dorsal) approach (described by Tsivian and Sidi) with an autologous vaginal epithelium inlay graft. The technique and modern approaches to female urethroplasty are contrasted and discussed. The success of the approach including continence rates and lack of need for long‐term self‐intermittent catheterisation is noted.OBJECTIVE To review the technique and outcomes of using a dorsal vaginal graft to perform urethroplasty for the treatment of urethral strictures in women. PATIENTS AND METHODS This is a retrospective chart review of 11 women who were treated with a dorsal vaginal graft urethroplasty by one surgeon. All women underwent preoperative evaluation that included history, physical examination, fluoro‐urodynamics and urethral calibration. After surgery interviews, physical examinations, and urinary flow and postvoid residual urine volumes (PVRs) were obtained. RESULTS In all, 11 women who had undergone dorsal vaginal graft urethroplasty were identified for review. The mean (range) age was 60.6 (39–75) years. The mean (range) follow‐up was 22.7 (6–46) months. There were no cases of new onset stress urinary incontinence. The mean PVRs before and after surgery were 187.1 mL and 75.8 mL, respectively (P= 0.003). The mean urinary flows before and after surgery were 7.3 mL/s and 21.8 mL/s, respectively (P= 0.001). No patient has required repeat surgery. Self‐reporting satisfaction scores using the Patient Global Impression of Improvement showed that four patients scored 1 (very much better), three scored 2 (much better), two patients scored 3 (a little better), and one scored 4 (no change). Only one patient scored a 5 (worse). CONCLUSION Dorsal graft urethroplasty with vaginal mucosa may be considered as a first‐line option for definitive management of female urethral stricture disease. No consensus exists for the surgical treatment of female urethral stricture disease.

show abstract

“…Zu den letzteren wer den extrinsische (z. B. Prolaps von Be ckenorganen, Inkontinenzoperationen), luminale ( B. Steine, Tumore, Ureteroze le) und urethrale Ursachen (Meatus und Urethrastrikturen, Karunkel, Fibrose, Zys ten und Divertikel) gezählt [8].…”

Section: Weibliche Meatusstenoseunclassified

“…Weitere Kriterien sind ei ne Harnstrahlabschwächung <15 ml/s und ein P det . Q max von mindestens 30 cmH 2 O in der Urodynamik [8]. Eine urodyna mische Untersuchung ist allerdings in der Routinediagnostik nicht notwendig, wenn die Inspektion des Meatus und die Kalib rierung der Harnröhre eindeutige Ergeb nisse liefern (.…”

Section: Weibliche Meatusstenoseunclassified

Die Meatusstenose

Anheuser

Schmidt²,

Ja³

2010

Urologe

View full text Add to dashboard Cite

There is no common pathology in strictures of the external urinary meatus in men and women. These strictures have to be considered in their complexity and history with influential factors like additional diseases and previous surgical interventions. It is necessary to distinguish a simple situation from extensive findings. Successful therapy depends on the exact evaluation and classification of the stricture.

show abstract

Female urethral stricture disease

Cited by 64 publications

References 43 publications

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

Dorsal vaginal graft urethroplasty for female urethral stricture disease

Die Meatusstenose

Contact Info

Product

Resources

About