Techniques and Results of Urethroplasty for Female Urethral Strictures: Our Experience With 17 Patients

Önol, Fikret Fatih; Antar, Baran; Köse, Osman; Erdem, Mehmet Remzi; Onol, Sinasi Yavuz

doi:10.1016/j.urology.2011.01.017

Cited by 58 publications

(65 citation statements)

References 10 publications

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“…Several published series have examined the use of ventral vaginal flap urethroplasty with success rates between 80–100% (14,28-30). These techniques may utilize either a “U-shaped” or “C-shaped” vaginal flap inlay to reconstruct the urethra.…”

Section: Surgical Managementmentioning

confidence: 99%

“…Several published series have demonstrated excellent outcomes after urethroplasty for FUS using buccal or lingual mucosa in a dorsal onlay technique (14,22,28,31,36-39). While the individual series are limited by small patient numbers and lack of long-term data, the results are indeed promising.…”

Section: Surgical Managementmentioning

confidence: 99%

“…The buccal mucosal graft urethroplasty utilizing the ventral onlay technique has been presented in two separate series, comprising of two patients each (28,40). While successful outcomes were noted in three of the four patients, it is difficult to infer feasibility and efficacy of this technique due to limited patient numbers.…”

Section: Surgical Managementmentioning

confidence: 99%

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Surgical management of female urethral strictures

Hoag¹,

Chee²

2017

Transl. Androl. Urol.

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Female urethral stricture (FUS) represents a rare condition, yet one that can cause significant, bothersome lower urinary tract symptoms (LUTS). Historically, urethral dilation has been a preferred treatment choice for these patients. A variety of reconstructive surgical techniques have been described in recent years to provide more definitive management in this challenging group of patients. We present an overview of FUS and a summary of surgical management options.

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Section: Surgical Managementmentioning

confidence: 99%

Section: Surgical Managementmentioning

confidence: 99%

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Surgical management of female urethral strictures

Hoag¹,

Chee²

2017

Transl. Androl. Urol.

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“…We have summarized the outcomes of all published female urethroplasty series in Table 2 [6,8,9,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. The median number of urethroplasty cases in these papers was 8, ranging from 2 to 30 [8,26].…”

Section: Discussionmentioning

confidence: 99%

Ventral‐onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women

et al. 2017

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“…Subsequent studies have built upon this experience with dorsal onlay buccal mucosal graft urethroplasty with variations in surgical technique. While these studies have been encouraging in their results, their patient numbers remain small, and data retrospective [ 18 19 20 ].…”

Section: Discussionmentioning

confidence: 99%

Vaginal-sparing ventral buccal mucosal graft urethroplasty for female urethral stricture: A novel modification of surgical technique

2016

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PurposeTo present a novel modification of surgical technique to treat female urethral stricture (FUS) by a vaginal-sparing ventral buccal mucosal urethroplasty. Recurrent FUS represents an uncommon, though difficult clinical scenario to manage definitively. A variety of surgical techniques have been described to date, yet a lack of consensus on the optimal procedure persists.Materials and MethodsWe present a 51-year-old female with urethral stricture involving the entire urethra. Suspected etiology was iatrogenic from cystoscopy 17 years prior. Since then, the patient had undergone at least 25 formal urethral dilations and periods of self-dilation. In lithotomy position, the urethra was dilated to accommodate forceps, and ventral urethrotomy carried out sharply, exposing a bed of periurethral tissue. Buccal mucosa was harvested, and a ventral inlay technique facilitated by a nasal speculum, was used to place the graft from the proximal urethra/bladder neck to urethral meatus without a vaginal incision. Graft was sutured into place, and urethral Foley catheter inserted.ResultsThe vaginal-sparing ventral buccal mucosal graft urethroplasty was deemed successful as of last follow-up. Flexible cystoscopy demonstrated patency of the repair at 6 months. At 10 months of follow-up, the patient was voiding well, with no urinary incontinence. No further interventions have been required.ConclusionsThis case describes a novel modification of surgical technique for performing buccal mucosal urethroplasty for FUS. By avoiding incision of the vaginal mucosa, benefits may include reduced: morbidity, urinary incontinence, and wound complications including urethro-vaginal fistula.

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Techniques and Results of Urethroplasty for Female Urethral Strictures: Our Experience With 17 Patients

Cited by 58 publications

References 10 publications

Surgical management of female urethral strictures

Surgical management of female urethral strictures

Ventral‐onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women

Vaginal-sparing ventral buccal mucosal graft urethroplasty for female urethral stricture: A novel modification of surgical technique

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