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Review
. 2022 Nov;23(11):303-308.
doi: 10.1007/s11934-022-01113-w. Epub 2022 Oct 29.

An Update on Female Urethral Stricture Disease

Jack Campbell  1   2 , Alex J Vanni  1 , Casey G Kowalik  3   4
Affiliations
Review

An Update on Female Urethral Stricture Disease

Jack Campbell et al. Curr Urol Rep. 2022 Nov.

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. 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.

Keywords: Female; Urethra; Urethral stricture; Urethroplasty.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
    1. •• Sarin I, Narain TA, Panwar VK, Bhadoria AS, Goldman HB, Mittal A. Deciphering the enigma of female urethral strictures: a systematic review and meta-analysis of management modalities. Neurourol Urodyn. 2021;40(1):65–79. Meta-analysis highlighting better outcomes with urethral reconstruction compared to dilation. - DOI
    1. Santucci RA, Payne CK, Saigal CS. Office dilation of the female urethra: a quality of care problem in the field of urology. J Urol. 2008;180(5):2068–75. - DOI
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    1. Johnston JH, Koff SA, Glassberg KI. The pseudo-obstructed bladder in enuretic children. Br J Urol. 1978;50(7):505–10. - DOI

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