V02-05 Female Urethral Stricture – A Reconstructive Surgery

You have accessJournal of UrologyFemale Voiding Dysfunction/ Pelvic Floor Disorders/ Incontinence/ Neuro-Urology (V02)1 May 2024V02-05 FEMALE URETHRAL STRICTURE – A RECONSTRUCTIVE SURGERY Arthur Degani Ottaiano, Bruno Ricardo Di Domenico, Fabio Franco De Oliveira Junior, Andre Canettieri Rubez, Caio De Oliveira, Gabriel Chahade Sibanto Simoes, Lukas Costa Salles, Ana Beatriz Pereira De Souza, Aline Akel Ferruccio, Sofia Malosso Tronconi, Lucas Mira Gon, and Cassio Riccetto Arthur Degani OttaianoArthur Degani Ottaiano , Bruno Ricardo Di DomenicoBruno Ricardo Di Domenico , Fabio Franco De Oliveira JuniorFabio Franco De Oliveira Junior , Andre Canettieri RubezAndre Canettieri Rubez , Caio De OliveiraCaio De Oliveira , Gabriel Chahade Sibanto SimoesGabriel Chahade Sibanto Simoes , Lukas Costa SallesLukas Costa Salles , Ana Beatriz Pereira De SouzaAna Beatriz Pereira De Souza , Aline Akel FerruccioAline Akel Ferruccio , Sofia Malosso TronconiSofia Malosso Tronconi , Lucas Mira GonLucas Mira Gon , and Cassio RiccettoCassio Riccetto View All Author Informationhttps://doi.org/10.1097/01.JU.0001008636.33664.3e.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Female urethral stricture is a rare condition, affecting 0.1-1% of women with voiding complaints. When it occurs, treatment typically requires urethral reconstruction. Due to its rarity, surgeons may not be as experienced in reconstruction of the female urethra, in comparison with male surgery, and the treatment can be challenging. The objective of this video is to present an effective surgical treatment for female urethral stricture. METHODS: We present a 60-year-old female with obstructive lower urinary tract symptoms for the past decade. She experienced recurrent episodes of urinary retention, necessitating catheterization every 2-3 days. The patient had a history of abdominal hysterectomy 20 years ago. Physical examination did not reveal any vaginal prolapse or urethral abnormalities. In the uroflowmetry, the patient had a Voided volume of 150 mL, maximum urinary flow of 6 mililiters per se second and a post void volume of 100 mL. In the urodynamics, the patient showed a bladder capacity of 200 mL, No abnormal detrusor contraction during the cystometry phase. A voided volume of 93 mililiters, maximum urinary flow of 4 mililiters per se second and a post void volume of 110 mL. The detrusor pressure reached during maximum urinary flow was 93 cmH2O, indicating a bladder outlet obstruction. The Cystourethrography detected a distal stricture in the urethra. We demonstrate the surgical treatment of a female urethral stricture using buccal mucosa graft RESULTS: After the surgery, the patient was discharged on the first postoperative day using a foley catheter. The catheter was removed in three weeks. On the follow-up, patient reported continence, good voiding, and absence of obstructive symptoms. CONCLUSIONS: Reconstructive surgery using buccal mucosa graft is an effective treatment for female urethral stricture. Source of Funding: Unicamp © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e101 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Arthur Degani Ottaiano More articles by this author Bruno Ricardo Di Domenico More articles by this author Fabio Franco De Oliveira Junior More articles by this author Andre Canettieri Rubez More articles by this author Caio De Oliveira More articles by this author Gabriel Chahade Sibanto Simoes More articles by this author Lukas Costa Salles More articles by this author Ana Beatriz Pereira De Souza More articles by this author Aline Akel Ferruccio More articles by this author Sofia Malosso Tronconi More articles by this author Lucas Mira Gon More articles by this author Cassio Riccetto More articles by this author Expand All Advertisement PDF downloadLoading ...