Treatment of Urethral Stricture Disease in Women: Nonsystematic Review of Surgical Techniques and Intraoperative Considerations

Abstract

Kevin J Chua, Mark Mikhail, Hiren V Patel, Alexandra L Tabakin, Sai Krishnaraya Doppalapudi, Joshua Sterling, Hari SGR Tunuguntla Division of Urology, Department of Surgery, Rutgers, The State University of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ, 08901, USACorrespondence: Hari SGR TunuguntlaRutgers, The State University of New Jersey, Robert Wood Johnson Medical School, Division of Urology, Department of Surgery, Medical Education Building, Suite 584-B, 1, RWJ Place, New Brunswick, NJ, 08901, USAEmail [email protected]: Female urethral strictures are rare, but underdiagnosed pathologies that can cause voiding dysfunction. These strictures are best managed with open reconstruction, as endoscopic treatments have high rates of failure. A flap urethroplasty can be performed with vaginal, labial or bladder tissue. Meanwhile, graft urethroplasties can utilize vaginal, labial, buccal or lingual tissue. It is important to consider the etiology and type of stricture, local vascularity, and prior attempts at repair when selecting the type of repair. Multiple different techniques have been described with theoretical advantages to each one. While some studies have reviewed a few of the reconstructive techniques to treat female urethral strictures, no single study has accounted for each individual technique. In this review, we discuss techniques captured by a number of systematic reviews and other articles. We will herein focus on reviewing and describing each unique technique of reconstruction in the setting of female urethral stricture.Keywords: urethral stricture, urethral obstruction

Keywords

• urethral stricture
• urethral obstruction