Abstract
Female urethral stricture is uncommon and difficult to diagnose. 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.
Highlights
66 Post urethral UrethralF urethral catheter is introduced into the urethra, and the balloon is inflated inside the bladder
Dorsal Vaginal Graft Urethroplasty as a Treatment for Female Urethral Stricture: Case Reports of Four Patients
In this study we describe our results with the management of female urethral stricture using a dorsal vaginal graft
Summary
F urethral catheter is introduced into the urethra, and the balloon is inflated inside the bladder. The anterior vaginal wall is assessed and a free graft of vaginal epithelium is harvested (Figure 1). The graft is dissected from vaginal tissue using a no.11blade with the injection of epinephrine mixture before dissection. The harvest site is assessed,hemostasisis performed and closed with interrupted 2.0 absorbable sutures. The vaginal graft is stored in a normal saline-damp gauze for later use. Asuprameatal incision is made (Figure 2), and a plane is developed through the dorsal membrane to the urethral meatus. Dissection is performed towards the pubic bone without violation of the urethra. The pubic bone may be identified using palpation to assess the appropriate border of the proximal dissection point. The dissection is continued until the proximal point of the stricture. After the dissection is completed, the incision site on the urethra is identified at the 12
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