1966 EXPERIENCE WITH URETHROPLASTY TO TREAT URETHRAL STRICTURES IN WOMEN

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Non-Neurogenic Voiding Dysfunction1 Apr 20111966 EXPERIENCE WITH URETHROPLASTY TO TREAT URETHRAL STRICTURES IN WOMEN Andre Cavalcanti, Mauro Franca, Daniel Hampl, Carlos Manes, and Ricardo de Almeida Andre CavalcantiAndre Cavalcanti Rio de Janeiro, Brazil More articles by this author , Mauro FrancaMauro Franca Rio de Janeiro, Brazil More articles by this author , Daniel HamplDaniel Hampl Rio de Janeiro, Brazil More articles by this author , Carlos ManesCarlos Manes Rio de Janeiro, Brazil More articles by this author , and Ricardo de AlmeidaRicardo de Almeida Rio de Janeiro, Brazil More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2170AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Female urethral stricture is an uncommon cause of bladder outlet obstruction and a rare clinical entity in women. Regardless the etiology, periurethral fibrosis is the final cause.There is no treatment consensus, but less agressive maneuvers such as dilatations and urethrotomies are chosen to treat primary strictures, although the high recurrence. The objective of this study is to describe the experience with urethroplasty for the definitive management of urethral strictures in women. METHODS In all, 20 women (mean age 48 years) with a history suggestive of urethral stricture who had undergone multiple urethral dilatations and/or urethrotomy were selected for urethroplasty after thorough evaluation, from january 2000 to january 2010. 17(85%) patients were treated with a onlay vaginal flap and 3(15%) with a ventral buccal mucosa graft. The choice of the surgical technique was related with the clinical aspect of the vaginal mucosal at the time of the procedure with a preference to vaginal flap when a healthy mucosa was observed. RESULTS The preoperative mean maximum urinary flow rate of 6.0 mL/s increased to 29 mL/s, with a 'normal' flow rate curve after a mean follow-up of 11,75 months. One patient required urethral dilatation to treat a submeatal stricture during 3 months and symptoms of stress urinary incontinece was observed in 2 patients (10.0%) and in one a pubovaginal sling was performed with excellent results. CONCLUSIONS Reconstructive techniques with the use of flaps and grafts should be considered in recurrent female urethral strictures as a simple, safe and effective approach with durable results. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e787 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andre Cavalcanti Rio de Janeiro, Brazil More articles by this author Mauro Franca Rio de Janeiro, Brazil More articles by this author Daniel Hampl Rio de Janeiro, Brazil More articles by this author Carlos Manes Rio de Janeiro, Brazil More articles by this author Ricardo de Almeida Rio de Janeiro, Brazil More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...