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An Update on Female Urethral Stricture Disease

  • Female Urology (L Cox, Section Editor)
  • Published:
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Abstract

Purpose of Review

To provide an overview of female urethral stricture disease and updates on surgical outcomes.

Recent Findings

In a large retrospective case series, women reported significant improvements in urinary symptoms and quality of life following treatment of their urethral stricture. Both vaginal flap and buccal mucosal graft urethroplasty have higher short- and long-term success rates than urethral dilation.

Summary

Female urethral stricture disease is rare and surgical reconstruction has the highest likelihood of long-term success. Due to the complexity of reconstruction, referral to a reconstructive trained urologist should be considered.

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Abbreviations

BMG:

Buccal mucosa graft

BOO:

Bladder outlet obstruction

LUTS:

Lower urinary tract symptoms

SPT:

Suprapubic tube

UTI:

Urinary tract infection

VCUG:

Voiding cystourethrogram

VFU:

Vaginal flap urethroplasty

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Authors and Affiliations

  1. Urology Institute, Lahey Hospital & Medical Center, Burlington, MA, USA

    Jack Campbell & Alex J. Vanni

  2. Department of Urology, Medical Center, University of Kansas, Kansas City, KS, USA

    Jack Campbell & Casey G. Kowalik

  3. Department of Urology, University of Kansas Health System, 3901 Rainbow Blvd, Kansas City, KS, 66201, USA

    Casey G. Kowalik

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Correspondence to Casey G. Kowalik.

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Campbell, J., Vanni, A.J. & Kowalik, C.G. An Update on Female Urethral Stricture Disease. Curr Urol Rep 23, 303–308 (2022). https://doi.org/10.1007/s11934-022-01113-w

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