Dorsal Graft Urethroplasty for Female Urethral Stricture

Tsivian, Alexander; Sidi, Avner

doi:10.1016/j.juro.2006.03.055

Cited by 64 publications

(49 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No se registró complicación alguna relacionada con la reparación. La estancia media hospitalaria fue 2,3 (1-5) días y el tiempo de mantenimiento postoperatorio del catéter (22 Ch) de 12,3 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) días. Las pacientes fueron evaluadas tras la cirugía con un seguimiento medio de 34,3 (12-55) meses, encontrándose sin incontinencia, sin síntomas obstructivos y con resultados cosméticos y funcionales (residuo, flujo máximo) satisfactorios (tabla 1).…”

Section: Resultsunclassified

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

et al. 2011

View full text Add to dashboard Cite

Section: Resultsunclassified

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

et al. 2011

View full text Add to dashboard Cite

“…This was originally described by Tsivian and Sidi [ 3 ] . The present patients who underwent urethroplasty were women who presented with the combination of a history of repeat urethral dilatations with short-lived but temporally successful clinical response, continued voiding symptomatology, and a desire for permanent therapy for their condition.…”

Section: Discussionmentioning

confidence: 99%

“…The choice of vaginal epithelium for the inlay graft was infl uenced by the original description of this vaginal fl ap inlay technique by Tsivian and Sidi [ 3 ] in their series of three patients (two had a vaginal wall graft), and also the relative ease of harvesting the vaginal mucosal graft with its familiar dissection combined with a hairless elastic mucosal surface. However, the use of a free vaginal wall graft in this type of reconstruction is relatively infrequent [ 3,22 ] .…”

Section: Discussionmentioning

confidence: 99%

“…However, the use of a free vaginal wall graft in this type of reconstruction is relatively infrequent [ 3,22 ] .…”

Section: Discussionmentioning

confidence: 99%

“…The obvious value of these studies notwithstanding, most of these reports are descriptive in nature and generally do not provide meaningful indications of the success (subjective or objective) of the particular surgical intervention. Motivated by this, in the present study, we describe our results in a series of women surgically treated for female urethral stricture disease using a transvaginal suprameatal approach with a vaginal epithelium inlay graft as originally described by Tsivian and Sidi [ 3 ] . Specifi cally, we assessed improvements in objective measures, e.g.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dorsal vaginal graft urethroplasty for female urethral stricture disease

et al. 2012

View full text Add to dashboard Cite

Study Type – Therapy (case series)Level of Evidence 4What's known on the subject? and What does the study add?Female urethral stricture disease has been described for almost 200 years. The symptoms of female stricture disease may range from clinically insignificant to severe and debilitating with the exact aetiology being unclear. No strict criteria for diagnosis have been established with the diagnosis often relying on a combination of presenting symptoms and objective findings. Initial therapy for female urethral stricture disease has often rested on urethral dilatations and self‐intermittent catheterisation with surgery reserved for patients that failed conservative measures. Female urethroplasty currently is a topic of increasing attention with multiple surgical approaches described including use of both grafts (vaginal wall, buccal mucosal membrane, lingual mucosa, and labia minus) and flaps (vaginal vestibule, anterior vagina, and lateral vagina).We describe our approach to female urethroplasty using a suprameatal (dorsal) approach (described by Tsivian and Sidi) with an autologous vaginal epithelium inlay graft. The technique and modern approaches to female urethroplasty are contrasted and discussed. The success of the approach including continence rates and lack of need for long‐term self‐intermittent catheterisation is noted.OBJECTIVE To review the technique and outcomes of using a dorsal vaginal graft to perform urethroplasty for the treatment of urethral strictures in women. PATIENTS AND METHODS This is a retrospective chart review of 11 women who were treated with a dorsal vaginal graft urethroplasty by one surgeon. All women underwent preoperative evaluation that included history, physical examination, fluoro‐urodynamics and urethral calibration. After surgery interviews, physical examinations, and urinary flow and postvoid residual urine volumes (PVRs) were obtained. RESULTS In all, 11 women who had undergone dorsal vaginal graft urethroplasty were identified for review. The mean (range) age was 60.6 (39–75) years. The mean (range) follow‐up was 22.7 (6–46) months. There were no cases of new onset stress urinary incontinence. The mean PVRs before and after surgery were 187.1 mL and 75.8 mL, respectively (P= 0.003). The mean urinary flows before and after surgery were 7.3 mL/s and 21.8 mL/s, respectively (P= 0.001). No patient has required repeat surgery. Self‐reporting satisfaction scores using the Patient Global Impression of Improvement showed that four patients scored 1 (very much better), three scored 2 (much better), two patients scored 3 (a little better), and one scored 4 (no change). Only one patient scored a 5 (worse). CONCLUSION Dorsal graft urethroplasty with vaginal mucosa may be considered as a first‐line option for definitive management of female urethral stricture disease. No consensus exists for the surgical treatment of female urethral stricture disease.

show abstract

The outcomes of three buccal mucosal graft urethroplasty techniques in women with urethral stricture disease

Gülpınar

Zümrütbaş

Sancı

et al. 2021

Neurourology and Urodynamics

View full text Add to dashboard Cite

The purpose of this paper is to present the outcomes of three buccal mucosal graft (BMG) urethroplasty techniques in female patients with urethral strictures. Methods: We included all patients who had BMG urethroplasty for female urethral strictures (FUS) disease between January 2015 and June 2020. Patient age, comorbidities, stricture etiology, stricture length, the number of previous treatments, preoperative and postoperative uroflowmetry data, postvoid residual volumes, and the operation and postoperative course details were documented. Results: A total of 34 patients were included in this study. There were 8 patients in vaginal-sparing inlay BMG, 12 for ventral onlay BMG, and 14 for Aybek-Zumrutbas (AZ) technique groups. The mean age of the study population was 56.1 years. The length of urethral strictures varied between one and 4.5 cm. All patients had a previous history of endoscopic treatment or dilatations. The preoperative mean maximal flow rate (Qmax) was 6.9 ml/s. The median postoperative follow-up time was 24.6 months. Twelve months after surgery, the mean Qmax was 25 (range: 14-32) ml/s. There were no significant complications in any patients. The success rates were 83.3% for ventral onlay BMG, 87.5% for vaginal-sparing, and 100% for AZ technique. Conclusions: All three BMG urethroplasty techniques applied in this study had a success rate of over 80% in a median follow-up of approximately 2 years. In females, urethroplasty with BMG provided high rates of cure, and the recently described two techniques (vaginal-sparing inlay BMG, and AZ technique) showed promise in FUS treatment.

show abstract

Dorsal Graft Urethroplasty for Female Urethral Stricture

Abstract: Dorsal graft urethroplasty is feasible and effective for the correction of persistent female urethral stricture.

Cited by 64 publications

References 15 publications

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

Tratamiento reconstructivo de la estenosis uretral femenina secundaria a erosión por cinta suburetral

Dorsal vaginal graft urethroplasty for female urethral stricture disease

The outcomes of three buccal mucosal graft urethroplasty techniques in women with urethral stricture disease

Contact Info

Product

Resources

About