Abstract
Introduction: Female urethral stricture is a highly
under-reported and underdiagnosed condition encountered by the
reconstructive urologist. Urethral dilatation is often performed with
urethroplasty offered in select cases. In the present study, we
describe our results in a series of women surgically treated for female
urethral stricture disease using a suprameatal approach with
a buccal mucosal graft dorsal on lay technique.
Materials and Methods: All females diagnosed of urethral stricture who underwent buccal mucosal graft urethroplasty from
January 2015 to January 2020 were evaluated retrospectively. Intraoperative and postoperative parameters were assessed.
Results: A total of 14 female patients underwent buccal mucosal
urethroplasty were evaluated. The mean age of the patients
was 49.5 years ranging from 35 to 64 years. Mean preoperative maximum
flow rate [Qmax] on uroflometry was 6.5 ml/second and
the mean residual urine 156 ml. All patients underwent uneventful buccal
mucosal graft dorsal on lay technique. At 3 months follow
up, the mean Qmax was 23.2 ml/second with mean residual urine of 14 ml. A
Self-reporting satisfaction scores using the Patient
Global Impression of Improvement showed that seven patients scored 1
(very much better), four scored 2 (much better), two
patients scored 3 (a little better), and one scored 4 (no change) none
of the patients scored a 5 (worse).No recurrence was noted.
Conclusion: Buccal mucosal graft urethroplasty is a feasible surgery for female urethral strictures with minimal short term
complications.
Read more about this article: https://lupinepublishers.com/urology-nephrology-journal/fulltext/evaluation-of-buccal-mucosal-graft-urethroplasty-for-the-treatment-of-female-urethral-strictures-a-single-centre-experience.ID.000163.php
