Surgical Management of Female Urethral Strictures

Overview

Journal Transl Androl Urol

Date 2017 Aug 10

PMID 28791225

Citations 20

Authors

Nathan Hoag

Justin Chee

Affiliations

Soon will be listed here.

Abstract

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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References

OConnell H, Hutson J, Anderson C, Plenter R . Anatomical relationship between urethra and clitoris. J Urol. 1998; 159(6):1892-7. DOI: 10.1016/S0022-5347(01)63188-4. View

Kuo T, Ng L, Chapple C . Pelvic floor spasm as a cause of voiding dysfunction. Curr Opin Urol. 2015; 25(4):311-6. DOI: 10.1097/MOU.0000000000000174. View

Migliari R, Leone P, Berdondini E, De Angelis M, Barbagli G, Palminteri E . Dorsal buccal mucosa graft urethroplasty for female urethral strictures. J Urol. 2006; 176(4 Pt 1):1473-6. DOI: 10.1016/j.juro.2006.06.043. View

Onol F, Onol S, Tahra A, Boylu U . Ventral inlay labia minora graft urethroplasty for the management of female urethral strictures. Urology. 2013; 83(2):460-4. DOI: 10.1016/j.urology.2013.09.020. View

Montorsi F, Salonia A, Centemero A, Guazzoni G, Nava L, Da Pozzo L . Vestibular flap urethroplasty for strictures of the female urethra. Impact on symptoms and flow patterns. Urol Int. 2002; 69(1):12-6. DOI: 10.1159/000064353. View

Massey J, Abrams P . Obstructed voiding in the female. Br J Urol. 1988; 61(1):36-9. DOI: 10.1111/j.1464-410x.1988.tb09158.x. View

Popat S, Zimmern P . Long-term management of luminal urethral stricture in women. Int Urogynecol J. 2016; 27(11):1735-1741. DOI: 10.1007/s00192-016-3006-8. View

Kowalik C, Stoffel J, Zinman L, Vanni A, Buckley J . Intermediate outcomes after female urethral reconstruction: graft vs flap. Urology. 2014; 83(5):1181-5. DOI: 10.1016/j.urology.2013.12.052. View

Tsivian A, Sidi A . Dorsal graft urethroplasty for female urethral stricture. J Urol. 2006; 176(2):611-3. DOI: 10.1016/j.juro.2006.03.055. View

10.

OConnell H, Sanjeevan K, Hutson J . Anatomy of the clitoris. J Urol. 2005; 174(4 Pt 1):1189-95. DOI: 10.1097/01.ju.0000173639.38898.cd. View

11.

Rehder P, Glodny B, Pichler R, Exeli L, Kerschbaumer A, Mitterberger M . Dorsal urethroplasty with labia minora skin graft for female urethral strictures. BJU Int. 2010; 106(8):1211-4. DOI: 10.1111/j.1464-410X.2010.09240.x. View

12.

Goel A, Paul S, Dalela D, Sankhwar P, Sankhwar S, Singh V . Dorsal onlay buccal mucosal graft urethroplasty in female urethral stricture disease: a single-center experience. Int Urogynecol J. 2013; 25(4):525-30. DOI: 10.1007/s00192-013-2249-x. View

13.

Onol F, Antar B, Kose O, Erdem M, Onol S . Techniques and results of urethroplasty for female urethral strictures: our experience with 17 patients. Urology. 2011; 77(6):1318-24. DOI: 10.1016/j.urology.2011.01.017. View

14.

Park J, McGuire E, Koo H, Schwartz A, Garwood C, Bloom D . External urethral sphincter dilation for the management of high risk myelomeningocele: 15-year experience. J Urol. 2001; 165(6 Pt 2):2383-8. DOI: 10.1016/S0022-5347(05)66210-6. View

15.

Rosenblum N, Nitti V . Female urethral reconstruction. Urol Clin North Am. 2011; 38(1):55-64, vi. DOI: 10.1016/j.ucl.2010.12.008. View

16.

Groutz A, Blaivas J, Pies C, Sassone A . Learned voiding dysfunction (non-neurogenic, neurogenic bladder) among adults. Neurourol Urodyn. 2001; 20(3):259-68. DOI: 10.1002/nau.1003. View

17.

Hickling D, Aponte M, Nitti V . Evaluation and management of outlet obstruction in women without anatomical abnormalities on physical exam or cystoscopy. Curr Urol Rep. 2012; 13(5):356-62. DOI: 10.1007/s11934-012-0267-8. View

18.

Bloom D, Knechtel J, McGuire E . Urethral dilation improves bladder compliance in children with myelomeningocele and high leak point pressures. J Urol. 1990; 144(2 Pt 2):430-3; discussion 443-4. DOI: 10.1016/s0022-5347(17)39482-x. View

19.

REES D, Whitfield H, Islam A, Doyle P, Mayo M, WICKHAM J . Urodynamic findings in adult females with frequency and dysuria. Br J Urol. 1975; 47(7):853-60. DOI: 10.1111/j.1464-410x.1975.tb04068.x. View

20.

Gormley E . Vaginal flap urethroplasty for female urethral stricture disease. Neurourol Urodyn. 2010; 29 Suppl 1:S42-5. DOI: 10.1002/nau.20814. View