Female Urethral Reconstruction Using Dorsal Vaginal Graft: A Single-center Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 1
Abstract
Introduction: Female urethral stricture (FUS) is relatively rare condition but can cause bothersome lower urinary tract symptoms. The common causes may include idiopathic, trauma, iatrogenic injury, infection, malignancy, and radiation. Here, we present our single-center experience of treating FUS with dorsal onlay vaginal graft in nine patients. Materials and Methods: A retrospective review was performed on nine female patients with midurethral stricture who underwent dorsal onlay vaginal graft urethroplasty from January 2015 to January 2018. Six patients had a history of multiple Hegar dilatations and three underwent internal urethrotomies previously. All patients underwent pre-operative evaluation including detailed history, physical examination, complete blood count, routine urine, serum creatinine, uroflowmetry, ultrasound sonography (USG) abdomen and pelvis, and micturating cystourethrogram. Results: Site of stricture w as midurethra in all the nine patients. Mean pre-operative versus post-operative Qmax was 5 mL/s versus 22.33 mL/s, and mean residual urine was 186.66 mL versus 18.88 mL. Irritative voiding symptoms were present in two patients, which subsided after a week. None of the patients reported incontinence during follow-up. Conclusion: Dorsal onlay vaginal graft urethroplasty is a simple and more effective technique than repeated painful dilatations and urethrotomy. Further study with more patients and longer follow-up is required to establish the success of this procedure.
Authors and Affiliations
Kumar Rohit, Prabhat Kumar, Rohit Upadhyay, Kamal Kant, Vijoy Kumar
Keywords
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