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• W2088799056 abstract "You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Non-neurogenic Voiding Dysfunction1 Apr 2014MP76-17 DORSAL ONLAY BUCCAL URETHOPLASTY (DOBU) IN THE FEMALE DURABLE AND IS NOT ASSOCIATED WITH INCONTINENCE, FISTULA FORMATION, OR CLITORAL COMPLICATIONS Charles Powell and David Daniels Charles PowellCharles Powell More articles by this author and David DanielsDavid Daniels More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2410AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Female urethral stricture is a rare but morbid condition that decreases quality of life significantly. Due to its rare nature, controversy exists regarding the optimal surgical exposure and graft material. Buccal mucosa has become the most popular graft material for male urethroplasty. Buccal mucosa grafting has been described in females, but not critically evaluated. We believe this represents the largest series of female patients using buccal mucosa having undergone the dorsal onlay buccal urethroplasty (DOBU). We hypothesize that this technique will have improved recurrence free rates, no fistula formation, improved post-op incontinence rates, and no greater risk of clitoral pain compared with ventral onlay, vaginal graft techniques. METHODS A retrospective case series was compiled from 2009-13 identifying female subjects who underwent DOBU via suprameatal approach. All patients underwent pelvic exam, as well as supine stress test. Endpoints included recurrence of stricture verified by cystoscopy, uroflow, post-void residual, presence of urinary tract infection, pain, fistula formation, incontinence, and complications from both the donor site and the vagina. RESULTS Six subjects were identified. Mean follow up was 16.9 months. No stress incontinence was noted pre-operatively, and none developed post-op. No fistulas were noted. Mean stricture length was 1.2cm and mean graft length was 2.75cm. One stricture recurrence was noted (16%) which required dilation. Mean pain score went from 3.5/10 to 0/10 on a 10 point Likert scale (p=0.075). UTIs per year went from 4.3 to 0.3 (p=0.038). Maximum voided velocity increased from 5.6 to 12.65 cc/sec (p=0.049), and mean post void residual decreased from 305 to 41cc (p=0.099). No urethral or vaginal complications were reported, but 2 patients reported donor site morbidity. No clitoral anesthesia or pain was reported. CONCLUSIONS DOBU is durable and compares favorably with other reported techniques to repair female urethral stricture. It can be safely considered instead of vaginal graft urethroplasty using ventral onlay for the female with urethral stricture. Demographics Age 52.7 Duration of urethral stricture (months) 218.0 Pain Score 3.5 length of stricture (cm) 1.2 caliber of stricture (Fr) 6.7 © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e888-e889 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Charles Powell More articles by this author David Daniels More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2088799056 title "MP76-17 DORSAL ONLAY BUCCAL URETHOPLASTY (DOBU) IN THE FEMALE DURABLE AND IS NOT ASSOCIATED WITH INCONTINENCE, FISTULA FORMATION, OR CLITORAL COMPLICATIONS" @default.
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