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• W2064743323 abstract "No AccessJournal of UrologyAdult Urology1 Oct 2010Vaginal Flap Urethroplasty for Wide Female Stricture Disease Alchiede Simonato, Virginia Varca, Marco Esposito, and Giorgio Carmignani Alchiede SimonatoAlchiede Simonato More articles by this author , Virginia VarcaVirginia Varca More articles by this author , Marco EspositoMarco Esposito More articles by this author , and Giorgio CarmignaniGiorgio Carmignani More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.06.042AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: As in men, female urethral stricture disease is often treated with repeat urethral dilation or internal urethrotomy but not always with good results. In nonresponsive cases surgical treatment may be useful but only a few cases are reported in the literature. We present our single institution experience with urethral reconstruction in 6 patients using an alternative vaginal inlay flap technique inspired by the Orandi technique. Materials and Methods: We treated 6 women with urethral stricture. In 5 patients stricture involved the entire middle and distal urethra, and in 1 it also involved the proximal urethra with bilateral hydronephrosis. Patients underwent urethral reconstruction using a vaginal flap with a lateral vascular pedicle that maintains the vascular axis. The flap was partially de-epithelialized to favor tissue cicatrix formation where the sutures are placed and avoid fistula formation. Results: Mean followup was 70.8 months. Normal micturition was achieved after catheter removal in all patients. Post-void residual urine was measured postoperatively in 3 patients. One patient had significant post-void residual urine and required intermittent self-catheterization. The remaining 5 patients required no additional treatment. Conclusions: Using the vaginal wall to reconstruct large segments of the female urethra is simple and appears to have good results. Our technique preserves the vascular axis of the flap and protects the sutures. More contributions to the existing literature are needed before any further conclusions can be drawn. References 1 : Buccal mucosa graft urethroplasty for recurrent stricture of female urethra. Urology2006; 67: 1069. Google Scholar 2 : Technique and results of urethroplasty for female stricture disease. J Urol2006; 175: 976. Link, Google Scholar 3 : Female urethral strictures: successful management with long-term clean intermittent catheterization after urethral dilatation. BJU Int2006; 98: 96. Google Scholar 4 : Vestibular flap urethroplasty for strictures of the female urethra. Urol Int2002; 69: 12. Google Scholar 5 : Bladder neck reconstruction for total urinary incontinence: 10 years of experience. J Urol1981; 126: 321. Google Scholar 6 : Vaginal flap urethral reconstruction: an alternative to the bladder flap neourethra. J Urol1989; 141: 542. Abstract, Google Scholar 7 : Use of proximal-based vaginal flap in stricture of the female urethra. Urology1996; 47: 747. Google Scholar 8 : One-stage urethroplasty. Br J Urol1968; 40: 717. Google Scholar 9 : Urologic Diseases in America Project: Office dilation of the female urethra: a quality of care problem in the field of urology. J Urol2008; 180: 2068. Link, Google Scholar 10 : Radical surgical treatment for female voiding disorders. Urodinamica1994; 4: 331. Google Scholar 11 : Dorsal graft urethroplasty for female urethral stricture. J Urol2006; 176: 611. Link, Google Scholar 12 : Dorsal buccal mucosa graft urethroplasty for female urethral strictures. J Urol2006; 176: 1473. Link, Google Scholar 13 : Outcome of urethral reconstructive surgery in a series of 74 women. J Urol2003; 169: 2246. Link, Google Scholar 14 : Use of pedicle flap from the labia minora for the repair of female urethral strictures. Urol Int2002; 69: 95. Google Scholar Clinica Urologica “L. Giuliani,” Ospedale San Martino, Genova, Italy© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byPowell C and Daniels D (2016) Dorsal Onlay Buccal Urethroplasty in the Female is Associated with High Quality of Life Using Validated Lower Urinary Tract Symptom InstrumentsUrology Practice, VOL. 4, NO. 1, (48-53), Online publication date: 1-Jan-2017.Faiena I, Koprowski C and Tunuguntla H (2015) Female Urethral ReconstructionJournal of Urology, VOL. 195, NO. 3, (557-567), Online publication date: 1-Mar-2016.Wein A (2014) Re: A Systematic Review of Surgical Techniques Used in the Treatment of Female Urethral StrictureJournal of Urology, VOL. 192, NO. 2, (488-489), Online publication date: 1-Aug-2014. Volume 184Issue 4October 2010Page: 1381-1385 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Keywordsurethral stricturereconstructive surgical proceduresvaginaurethrasurgical flapsMetricsAuthor Information Alchiede Simonato More articles by this author Virginia Varca More articles by this author Marco Esposito More articles by this author Giorgio Carmignani More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2064743323 title "Vaginal Flap Urethroplasty for Wide Female Stricture Disease" @default.
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