Abstract
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.
Methods
We use a live action surgical video to describe the harvest of a buccal mucosal graft and ventral-onlay urethroplasty.
Results
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.
Conclusion
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.
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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.
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Petrikovets, A., Sun, H.H., Kiechle, J. et al. Ventral-onlay buccal mucosal graft urethroplasty for the treatment of female urethral stricture: a step-by-step video for Female Pelvic Reconstructive Surgeons. Int Urogynecol J 30, 2191–2193 (2019). https://doi.org/10.1007/s00192-019-03987-w
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DOI: https://doi.org/10.1007/s00192-019-03987-w