Lateral-based Anterior Vaginal Wall Flap in the Treatment of Female Urethral Stricture: Efficacy and Safety

Romero‐Maroto, Jesús; Verdú-Verdú, L.P.; Pérez, L. Gómez; Tomás, Carla Pérez; Pacheco-Bru, Juan-José; López-López, A.

doi:10.1016/j.eururo.2016.09.029

Cited by 24 publications

(20 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We have summarized the outcomes of all published female urethroplasty series in Table 2 [6,8,9,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. The median number of urethroplasty cases in these papers was 8, ranging from 2 to 30 [8,26].…”

Section: Discussionmentioning

confidence: 99%

“…Over the years a number of urethroplasty techniques have been described: flap (vaginal , vestibular or pedicled labia minora ); graft (vaginal , labia minora , lingual or BMG ); ventral and dorsal approaches ; and inlay and onlay placements. .…”

Section: Discussionmentioning

confidence: 99%

“…We have summarized the outcomes of all published female urethroplasty series in Table . The median number of urethroplasty cases in these papers was 8, ranging from 2 to 30 .…”

Section: Discussionmentioning

confidence: 99%

“…Female urethral stricture (FUS), although uncommon, has a large impact on quality of life, with urethral pain and recurrent infections causing much misery. BOO in women may be more common than previously believed, occurring in [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].4% of women presenting with LUTS [1,2], with FUS causing BOO and LUTS in 0.32-4.9% of cases [3][4][5]. Traditionally FUS has been managed using endoscopic techniques with or without intermittent self-catheterization (ISC).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ventral‐onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…We have summarized the outcomes of all published female urethroplasty series in Table . The median number of urethroplasty cases in these papers was 8, ranging from 2 to 30 .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ventral‐onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In postmenopausal women, intravaginal estrogens may be administrated to treat vaginal mucosa atrophy [14]. In order to have a stable and mature stricture, urethroplasty must be postponed 3 months after the last dilation or urethrotomy [15].…”

Section: Surgical Guidementioning

confidence: 99%

Female Urethroplasty: A Practical Guide Emphasizing Diagnosis and Surgical Treatment of Female Urethral Stricture Disease

Waterloos

Verla

2019

BioMed Research International

View full text Add to dashboard Cite

Female urethral strictures are rare. Guidelines on how to diagnose and treat these strictures are lacking. At present, only expert opinion is available to guide clinical practice. Once the diagnosis is suspected based on obstructive voiding symptoms and uroflowmetry, most clinicians will use in addition video-urodynamics (including urethrography), urethral calibration and cystourethroscopy for confirmation of the diagnosis. Clinical inspection and gynaecological examination are also important. Urethral dilation is usually the first-line treatment despite the lack of long-term success. Female urethroplasty is associated with higher success rates. A multitude of techniques are described but not one technique has shown superiority above another. This narrative review aims to provide a clinical guide for diagnosis and treatment to the urologist motivated to perform female urethroplasty.

show abstract

Deciphering the enigma of female urethral strictures: A systematic review and meta‐analysis of management modalities

Sarin

Narain

Panwar

et al. 2020

Neurourology and Urodynamics

View full text Add to dashboard Cite

Objective: To evaluate the management methods of female urethral stricture (FUS) and analyze the outcomes of surgical treatments. A meta-analysis was done in an attempt to identify the best approach of urethroplasty and the graft-of-choice. Materials and Methods: A systematic search of Pubmed/Medline and Embase databases was performed according to the Preferred Reporting Items For Systematic Review And Meta-Analysis statement, for articles reporting on FUS management in the last decade. The Newcastle-Ottawa scale was used to assess the quality of 28 included non-randomized studies. The data on FUS management was summarized and pooled success rates (taken as symptom improvement and no need for further instrumentation) were compared. The secondary outcome was to establish a diagnostic modality of choice and define a "successful-outcome" of repair. Results: The outcome was separately reported for 554 women undergoing surgical intervention for FUS in the literature. The criteria defining FUS were varied. A combination of tests was used for diagnosis as none was singularly conclusive. A total of 301 patients had previous urethral instrumentations. The pooled success rate of urethral dilatation (234 women) was 49% at a mean follow-up of 32 months; flap urethroplasty (108 cases) was 92% at a mean followup of 42 months; buccal mucosal graft (BMG) urethroplasty (133 cases) was 89% at a mean follow-up of 19 months; vaginal graft augmentation (44 cases) was 87% at a mean follow-up of 15 months; and labial graft reconstruction (19 cases) was 89% at a mean follow-up of 18.4 months. The dorsal approach of graft augmentation met with 88% (95% confidence interval [CI] 0.79-0.95) success compared with 95% (95% CI 0.86-1) for the ventral approach. Conclusion: FUS is a rare condition requiring a meticulous diagnostic workup using multiple tests. All urethroplasties have shown better pooled success rates (86%-93%) compared with dilatation (49%). BMG is equally effective as vaginal graft urethroplasty.

show abstract

Lateral-based Anterior Vaginal Wall Flap in the Treatment of Female Urethral Stricture: Efficacy and Safety

Cited by 24 publications

References 25 publications

Ventral‐onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women

Ventral‐onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women

Female Urethroplasty: A Practical Guide Emphasizing Diagnosis and Surgical Treatment of Female Urethral Stricture Disease

Deciphering the enigma of female urethral strictures: A systematic review and meta‐analysis of management modalities

Contact Info

Product

Resources

About