V06-09 DORSAL ONLAY LINGUAL MUCOSA GRAFT URETHROPLASTY FOR FEMALE URETHRAL STRICTURE

Abstract

You have accessJournal of UrologyCME1 May 2022V06-09 DORSAL ONLAY LINGUAL MUCOSA GRAFT URETHROPLASTY FOR FEMALE URETHRAL STRICTURE Claire Richard, Benoit Peyronnet, Alice Drain, Juliette Hascoet, Nirit Rosenblum, Rachael Sussman, Lucas Freton, Lee C. Zhao, Victor W. Nitti, and Benjamin Brucker Claire RichardClaire Richard More articles by this author , Benoit PeyronnetBenoit Peyronnet More articles by this author , Alice DrainAlice Drain More articles by this author , Juliette HascoetJuliette Hascoet More articles by this author , Nirit RosenblumNirit Rosenblum More articles by this author , Rachael SussmanRachael Sussman More articles by this author , Lucas FretonLucas Freton More articles by this author , Lee C. ZhaoLee C. Zhao More articles by this author , Victor W. NittiVictor W. Nitti More articles by this author , and Benjamin BruckerBenjamin Brucker More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002586.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The most widely accepted definition of female urethral stricture (FUS) is a symptomatic, anatomical narrowing of the urethra based on a failure of catheterization, urethral calibration, visual inspection, endoscopy or radiography. Thus it is a rare condition, its diagnostic and treatment are challenging for the reconstructive urologist. METHODS: We present the case of a 47 year-old female, with a urethral stricture due to vulvar lichen sclerosus inducing incomplete bladder emptying and recurrent urinary tract infections. We decided to use lingual mucosa because the buccal mucosa was also affected by the lichen. The aim of this video was to describe the procedure of dorsal onlay lingual mucosa graft urethroplasty. RESULTS: The operating time was 70 minutes. The procedure began with the injection of adrenaline and xylocaine serum. An inverted U incision was performed anterior to the urethra. Dissection was carried out in the plane developed between the underlying urethra and overlying clitoral cavernous tissue. A dorsal urethrotomy was performed at a 12 o’ clock position until healthy proximal urethra was reached. The lingual mucosa graft was harvested after having identified the Wharton’s duct orifices. The graft edges were incised using a scalpel and the graft was removed using sharp scissors. The graft was maturated by removing the fat and muscular tissue of its non-mucosal side. The graft was sutured to the margins of the urethral plate. The distal part of the graft was quilted to the above periurethral flap in order to recreate the ventral aspect of the urethral meatus. A 18FR silicone catheter was placed carefully at the end of the procedure. No peri operative complication occurred. The patient was discharged two days after surgery and did not have recurrence of stricture after 6 months. CONCLUSIONS: Dorsal onlay lingual mucosa graft urethroplasty is a feasible option for female urethral stricture with satisfactory postoperative outcomes. Source of Funding: No © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e567 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Claire Richard More articles by this author Benoit Peyronnet More articles by this author Alice Drain More articles by this author Juliette Hascoet More articles by this author Nirit Rosenblum More articles by this author Rachael Sussman More articles by this author Lucas Freton More articles by this author Lee C. Zhao More articles by this author Victor W. Nitti More articles by this author Benjamin Brucker More articles by this author Expand All Advertisement PDF DownloadLoading ...