Dorsal vaginal graft urethroplasty in female urethral stricture: a contemporary series

摘要

Background:Bladder outlet obstruction (BOO) is an uncommon entity in women. The incidence is only 2.7–8% of women referred for voiding symptoms. It is common to treat female urethral strictures by repeated urethral dilatations with subsequent self-intermittent catheterisation, which often leads to stricture recurrence. We aim to review the technique and outcomes of Dorsal vaginal graft Urethroplasty (DVGU) to manage urethral strictures in females.MethodsThis study is a retrospective chart review of 24 women with urethral stricture who underwent dorsal vaginal graft urethroplasty by a single surgeon. Patients were selected based on history, physical examination, uroflowmetry, urethral calibration, urethroscopy and voiding cystourethrography. We compared the pre- and postoperative values of variables such as the peak flow (Qmax), post-void residual (PVR) and self-reporting satisfaction score.ResultsMean (range) age of the patients was 46.54 (38–55) years. The mean PVR was 6.35?ml/s and 148.12?ml/s, respectively. The mean Qmax before and after surgery was 6.35–25.12?ml/s, respectively (p?