Skip to main content

Urethroplasty for Female Urethral Stricture

  • Chapter
  • First Online:
Female Pelvic Surgery
  • 1541 Accesses

Abstract

Female urethral stricture disease has been historically treated with urethral dilation that has high recurrence rate. There is growing evidence that formal urethroplasty should be pursued early in the care of female urethral stricture disease as surgery can provide cost-effective, durable results. This chapter presents the various techniques for female urethroplasty that are presented in the recent literature.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Blaivas JG, Santos JA, Tsui JF, et al. Management of urethral stricture in women. J Urol. 2012;188:1778–82.

    Article  PubMed  Google Scholar 

  2. Indudhara R, Vaidyanathan S, Radotra BD. Urethral tuberculosis. Urol Int. 1992;48:436–8.

    Article  PubMed  CAS  Google Scholar 

  3. Romero Perez P, Schiefenbusch Munne E, Lobato Encinas JJ, Mira Llinares A. [Female urethral stenosis caused by vulvar dystrophy]. Arch Esp Urol. 1990;43:341–6.

    PubMed  CAS  Google Scholar 

  4. Pugliese JM, Morey AF, Peterson AC. Lichen sclerosus: review of the literature and current recommendations for management. J Urol. 2007;178:2268–76.

    Article  PubMed  Google Scholar 

  5. Desai S, Libertino JA, Zinman L. Primary carcinoma of the female urethra. J Urol. 1973;110:693–5.

    PubMed  CAS  Google Scholar 

  6. Yamashita T, Masuda H, Yano M, et al. Female urethral fibroepithelial polyp with stricture. J Urol. 2004;171:357.

    Article  PubMed  Google Scholar 

  7. Ozel B, Ballard C. Urethral and paraurethral leiomyomas in the female patient. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:93–5.

    Article  PubMed  Google Scholar 

  8. Nieuwenhuijs JL, De Jong TP. Two cases of unusual urethral complications after resection of sacrococcygeal teratoma. J Pediatr Surg. 2003;38:E14–5.

    Article  PubMed  Google Scholar 

  9. Carr LK, Webster GD. Bladder outlet obstruction in women. Urol Clin North Am. 1996;23:385–91.

    Article  PubMed  CAS  Google Scholar 

  10. Nitti VW, Tu LM, Gitlin J. Diagnosing bladder outlet obstruction in women. J Urol. 1999;161:1535–40.

    Article  PubMed  CAS  Google Scholar 

  11. Groutz A, Blaivas JG, Chaikin DC. Bladder outlet obstruction in women: definition and characteristics. Neurourol Urodyn. 2000;19:213–20.

    Article  PubMed  CAS  Google Scholar 

  12. Kuo HC. Videourodynamic characteristics and lower urinary tract symptoms of female bladder outlet obstruction. Urology. 2005;66:1005–9.

    Article  PubMed  Google Scholar 

  13. Carson CC, Segura JW, Osborne DM. Evaluation and treatment of the female urethral syndrome. J Urol. 1980;124:609.

    PubMed  CAS  Google Scholar 

  14. Rutherford AJ, Hinshaw K, Essenhigh DM, Neal DE. Urethral dilatation compared with cystoscopy alone in the treatment of women with recurrent frequency and dysuria. Br J Urol. 1988;61:500.

    Article  PubMed  CAS  Google Scholar 

  15. McLean P, Emmett JL. Internal urethrotomy in women for recurrent infection and chronic urethritis. J Urol. 1969;101:724.

    PubMed  CAS  Google Scholar 

  16. Santucci RA, Payne CK, Saigal CS. Urologic Disease in America Project: Office dilation of the female urethra: a quality of care problem in the field of urology. J Urol. 2008;180:2068–75.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Earle H. Contraction of the female urethra. Lond M Gaz. 1828–9;3:470.

    Google Scholar 

  18. Migliari R, Leone P, Berdondini E, et al. Dorsal buccal mucosa graft urethroplasty for female urethral strictures. J Urol. 2006;176:1473–6.

    Article  PubMed  Google Scholar 

  19. Rovner ES, Wein AJ. Diagnosis and reconstruction of the dorsal or circumferential urethral diverticulum. J Urol. 2003;170:82–6.

    Article  PubMed  Google Scholar 

  20. Schwender CE, Ng L, McGuire E, Gormley EA. Technique and results of urethroplasty for female stricture disease. J Urol. 2006;175:976–80.

    Article  PubMed  Google Scholar 

  21. Gormley EA. Vaginal flap urethroplasty for female urethral stricture disease. Neurourol Urodyn. 2010;29 Suppl 1:S42–5.

    Article  PubMed  Google Scholar 

  22. Rehder P, Glodny B, Pichler R, et al. Dorsal urethroplasty with labia minora skin graft for female urethral strictures. BJU Int. 2010;106(8):1211–4.

    Article  PubMed  Google Scholar 

  23. Tanello M, Frego E, Simeone C, Cosciani CS. Use of pedicle flap from the labia minora for the repair of female urethral strictures. Urol Int. 2002;69:95–8.

    Article  PubMed  CAS  Google Scholar 

  24. Berglund RK, Vasavada S, Angermeier K, Rackley R. Buccal mucosa graft urethroplasty for recurrent stricture of female urethra. Urology. 2006;67:1069–71.

    Article  PubMed  Google Scholar 

  25. Morey AF, McAninch JW. Technique of harvesting buccal mucosa for urethral reconstruction. J Urol. 1996;155:1696–7.

    Article  PubMed  CAS  Google Scholar 

  26. Montorsi F, Salonia A, Centemero A, et al. Vestibular flap urethroplasty for strictures of the female urethra: impact on symptoms and flow patterns. Urol Int. 2002;69:12–6.

    Article  PubMed  Google Scholar 

  27. Tsivian A, Sidi AA. Dorsal graft urethroplasty for female urethral stricture. J Urol. 2006;176:611–3.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chad Baxter M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Baxter, C. (2015). Urethroplasty for Female Urethral Stricture. In: Firoozi, F. (eds) Female Pelvic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1504-0_13

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1504-0_13

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1503-3

  • Online ISBN: 978-1-4939-1504-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics