Re: A systematic review of surgical techniques used in the treatment of female urethral stricture: Editorial comment

摘要

The incidence of true female urethral stricture (as opposed to calculations based on the number of urethral dilations carried out in women with lower urinary tract symptoms or recurrent urinary tract infections) is low. The literature cites this cause as responsible for 4% to 13% of cases of bladder outlet obstruction in women. The authors have collected 221 cases that satisfy their criteria of what they consider to be proper diagnosis and outcome assessment. The 2 main techniques reported on were urethral dilation and augmentation urethroplasty. Urethral dilation had a success rate of 47% and a mean followup of 43 months. The success rate was 58% in patients with no history of dilation and 27% in those who had undergone previous dilatation. It appears that the urethra was most commonly dilated to 41Fr. Ther.e were no reports of de novo incontinence with dilation.