Critical Analysis of Outcome Between Ventral and Dorsal Onlay Urethroplasty In Female Urethral Stricture

Katiyar, Varun; Sood, Rajeev; Sharma, Umesh; Goel, Hemant; Gahlawat, Sumit; Desai, Dhaval Sagarbhai

doi:10.1016/j.urology.2021.05.021

Cited by 10 publications

(4 citation statements)

References 18 publications

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“…Only one randomized study has looked at a head-to-head comparison between ventral and dorsal BMG female urethroplasty. Though limited by small sample size (nine in each group) and short follow-up (6 months), they found comparable success rates between the two techniques noting preference for dorsal technique for distal strictures and ventral for more proximal strictures [ 12 ]. No fistula, sexual dysfunction, or incontinence were reported for either group.…”

Section: Discussionmentioning

confidence: 99%

Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

et al. 2023

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Purpose Female urethral stricture disease is frequently unrecognized or misdiagnosed, with controversy in the literature regarding the definition of strictures and approach to management. The purpose of this study is to report our institutional experience with female urethroplasty and add our experience to the growing body of research. Methods We performed a retrospective review of patients undergoing female urethroplasty with dorsal onlay BMG at the University of Colorado between March 2015 and December 2021 performed by two surgeons (BF and JO). The primary outcome measure was surgical success, defined as no stricture recurrence. The secondary outcome measure was the incidence of de novo urinary incontinence. Results 23 patients were included in our data analysis. The median duration of lower urinary tract symptoms prior to urethroplasty was 16 years. 87% had undergone previous dilations. At a median follow-up of 12.2 months (range 1–81 months), four patients required a secondary procedure for obstruction with an overall success rate of 83%. One patient developed de novo stress urinary incontinence and one patient developed urge urinary incontinence. Subgroup analysis was performed comparing the patients that developed stricture recurrence (N = 4) to those that did not (N = 19). Those with stricture recurrence had a longer duration of symptoms and more dilations prior to urethroplasty. Conclusion Female urethroplasty with BMG is effective at treating female urethral stricture disease, with excellent outcomes at over a year of follow-up and minimal risk of stress incontinence postoperatively.

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Section: Discussionmentioning

confidence: 99%

Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

et al. 2023

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“…The cure or reduction of obstruction rates were 77% and 88% in the two studies reporting it within the first year [32,40] and 85.7% to 95.5% in the three studies reporting it after a follow-up of 1 to 5 years [35,37,43] certainty of evidence: very low. Four studies reported the change in Qmax, PVR and IPSS within the first year with significant improvement of all these parameters compared to baseline certainty of evidence: very low [32,36,40,42]. The postoperative complication rates ranged from 0% to 14.3%, being mostly de novo/worsened LUTS postoperatively [32,[35][36][37].…”

Section: Urethroplastymentioning

confidence: 98%

“…Eight studies were included: six prospective non comparative studies, one large retrospective comparative study and one small RCT [32,[35][36][37][40][41][42][43]. The techniques used were very heterogeneous in terms of approach (dorsal vs ventral) and tissue used (local flap vs free graft).…”

Section: Urethroplastymentioning

confidence: 99%

“…The rates of de novo SUI ranged from 0% to 4.6% certainty of evidence: very low [32,[35][36][37]40]. The RCT compared dorsal vs. ventral buccal mucosa graft urethroplasty and did not find any significant difference but with only 12 patients in each group [42]. The large multicenter series found a lower rate of success with endoscopic management compared to local flap or free graft urethroplasty (36% vs 66% vs. 64%) with similar morbidities.…”

Section: Urethroplastymentioning

confidence: 99%

See 1 more Smart Citation

Benefits and harms of conservative, pharmacological, and surgical management options for women with bladder outlet obstruction: A systematic review from the European Association of Urology non-neurogenic female LUTS guidelines panel

Peyronnet¹,

Omar²,

O’Connor³

et al. 2021

European Urology

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Long-term Sexual Function and Quality of Life in Women Following Substitution Urethroplasty

Rohith,

Das,

Mandal

et al. 2024

Int Urogynecol J

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Critical Analysis of Outcome Between Ventral and Dorsal Onlay Urethroplasty In Female Urethral Stricture

Cited by 10 publications

References 18 publications

Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience

Benefits and harms of conservative, pharmacological, and surgical management options for women with bladder outlet obstruction: A systematic review from the European Association of Urology non-neurogenic female LUTS guidelines panel

Long-term Sexual Function and Quality of Life in Women Following Substitution Urethroplasty

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