Abstract
Urethral strictures in women are rare compared with those in men. Three defined approaches for their treatment have been mentioned in the available literature: dorsal onlay, ventral onlay, and ventral inlay. Here we describe double-face buccal graft urethroplasty, a new technique for treating obliterative urethral strictures in women. A 37-year-old woman presented with a catheter-induced stricture, multiple dilatations for which had failed. Micturating urethrogram revealed near-obliterative mid and distal strictures. An inlay incision was made in the posterior wall and then the anterior wall. A buccal graft was inserted as a double-face dorsal and ventral inlay in the urethra. The patient had normal unobstructed voiding during a follow-up of 6 months. Double-face buccal graft urethroplasty is safe, feasible, and easy to perform and a good option for women with near-obliterative urethral strictures. To our knowledge, this is the first ever reported case of double-face urethroplasty in a woman.
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