Management of Urethral Stricture in Women

Abstract

In select women vaginal flap urethroplasty and buccal mucosal graft have high success rates, including 100% at 1 year and 78% at 5 years. Urethral dilation has a 6% success rate. Long-term followup is mandatory. Treatment should be individualized.

Urethral Solitary Fibrous Tumor: A Rare Pathologic Diagnosis of a Periurethral Mass

“…This can cause a urethral stricture resulting in bladder outlet obstruction. Bladder outlet obstruction occurs in 2–29% of all women [8]. This obstruction presents as weak stream, dribbling, recurrent urinary tract infections, and detrusor overactivity [8].…”

Female Hypospadias and Urethral Stricture Disease in a Circumcised Postmenopausal African Woman: Diagnosis and Management

“…The index patient is well motivated, and the empirically prescribed CISC frequency of once weekly lessens the cost burden. A recent report with larger series and longer follow-up than that reported by Smith et al described a poorer outcome following urethral dilatation for female urethral stricture [3]; however, the patients in the series did not receive long-term CISC, which may have been responsible for the observed lack of sustained response.…”

“…Its diagnosis, though simple, is often overlooked and usually made after difficult urethral catheterizations. Female urethral stricture occurs in 4 to 18% of women with bladder outlet obstruction, and, unlike extensively researched male urethral stricture disease, only limited studies on small series are reported in literature [2,3]. The most common etiologies of female urethral stricture are traumatic urethral injury, iatrogenic urethral injury, and inflammatory urethral disease; its optimal management is still under evaluation [4].…”

W-V flap: a new technique for reconstruction of female distal urethral stricture using vestibular mucosa

“…Overall, most of the urethroplasty techniques enjoy a high success rate, albeit with a short follow-up. Blavais et al 8 reported a success rate of 78% at 5 years for vaginal and buccal mucosal graft urethroplasties, whereas Mehrsai et al 9 reported a success rate of 76.5% for buccal mucosal graft urethroplasty after a mean follow-up of 28 months. In another study by Meeks et al ,10 the overall recurrence rate for all reconstructive procedures was reported to be 15.6%.…”