Vaginal flap urethroplasty for wide female stricture disease

Abstract

Operating time was 40-140 min (mean 105 min), and the graft measured between 2 × 1.5 cm and 3 × 2.5 cm. Follow-up time was 11-19 months. Maximum urinary flow rate could be improved from a baseline of 9.4-11.2 mL/s (preoperatively, after intermittent use of dilation) to 19-23 mL/s. Postvoid residual urine volume was 0-50 mL preoperatively and no postvoid residual urine volume postoperatively. Urinary catheters were removed after 21 days. Urinary stress incontinence did not occur postoperatively. There were found no complications related to the graft donor site. Conclusions: The reported data concerning a new therapeutic approach for the treatment of recurrent female urethral stricture show that a volar onlay urethroplasty represents a feasible, safe and simple surgical method. Larger series with long-term follow-up are needed for further evaluation.