International Urogynecology Journal

, Volume 30, Issue 12, pp 2191–2193 | Cite as

Ventral-onlay buccal mucosal graft urethroplasty for the treatment of female urethral stricture: a step-by-step video for Female Pelvic Reconstructive Surgeons

  • Andrey PetrikovetsEmail author
  • Helen H. Sun
  • Jonathan Kiechle
  • Graham C. Chapman
  • Christopher M. Gonzalez
  • Adonis Hijaz
IUJ Video


Introduction and hypothesis

Female urethral stricture is a relatively uncommon disease. Conservative management with repeated urethral dilation often leads to unsatisfactory results. Although treatment of female urethral stricture with urethral reconstruction using a variety of surgical techniques is a surgical option, female pelvic reconstructive surgeons have limited exposure to these procedures in their training. The purpose of this video is to demonstrate a step-by-step ventral-onlay buccal mucosal graft urethroplasty in a patient with female urethral stricture disease.


We use a live action surgical video to describe the harvest of a buccal mucosal graft and ventral-onlay urethroplasty.


This video provides a step-by-step approach to a ventral urethroplasty using a buccal mucosal graft. It can be used to educate and train those performing female pelvic reconstructive surgery.


Pelvic surgeons should be familiar with the management of female urethral stricture, including surgical treatment options such as urethral reconstruction. This video may be used to facilitate the reproducibility and comprehension of the ventral urethroplasty procedure.


Female urethral stricture Buccal mucosal graft Urethroplasty Surgical video 


Compliance with ethical standards

Conflicts of interest

AP, HS, JK, KS, GC have no conflicts of interest to disclose.

CG has affiliations with Coloplast and AMS, and is the American Urologic Association Public Policy Chair.

AH is part of the speaker bureau for Astellas.


Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material


(MP4 91,361 kb)


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Copyright information

© The International Urogynecological Association 2019

Authors and Affiliations

  1. 1.Female Pelvic Medicine & Reconstructive Surgery CenterUniversity Hospitals Cleveland Medical CenterClevelandUSA

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