Document Type : Original Article

Authors

1 Senior Registrar, Department of Urology, Royal Stoke University Hospital, Stoke On Trent, ST4 6QG, United Kingdom.

2 Professor, Dept of urology, Narayana Medical College, Nellore, India;

3 3Consultant Anaesthetist, Balaji Hospital, Kurnool, Andhra Pradesh, India.

Abstract

BACKGROUND: Female urethral strictures are rare; that is why the literature describing stricture management in women is sparse. We describe the outcomes and complications of dorsal buccal mucosa graft urethroplasty done in female patients with urethral stricture.
METHODS: From January 2017 to December 2019, 25 women 33 to 65 years old with urethral stricture disease underwent urethral reconstruction using a dorsal onlay buccal mucosa graft. Patients were diagnosed with Uroflowmetry (Qmax) and micturating cystourethrography. A urodynamic study was done to rule out bladder pathology. Follow up UFR was done every three months after catheter removal for one year after that every six months.
RESULTS: The mean age of the patients was 52.48 years. Mean stricture length was 1.9 cm. Preoperative versus postoperative mean Q max was 6.7 ml/s versus 19.6 ml/s.Most cases of UFR after catheter removal showed a Qmax >15ml/hr. Three patients complained of poor flow after three months of catheter removal, which were managed with urethral dilation twice a week and their strictures were stabilized after six months.
CONCLUSION: The dorsal approach with buccal mucosa graft allowed us to reconstruct an adequate urethra in females with good outcomes.

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Main Subjects

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