Skip to main content
Erschienen in: Current Bladder Dysfunction Reports 2/2013

01.06.2013 | Voiding Dysfunction Evaluation (H Atiemo, Section Editor)

Evaluation and Treatment of Female Urethral Stricture Disease

verfasst von: Richard Santucci, Mang Chen

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

Female urethral stricture disease is very rare, but can cause bothersome urinary tract symptoms. Because of rarity, knowledge of how to treat true female urethral strictures can be lacking. Strictures can be caused by infection, trauma, instrumentation, or prior urethral surgery. Treatment options vary depending on patient goals and overall health, as well as the location, length, and severity of the stricture. These include serial dilation, internal urethrotomy, or urethroplasty. Local vaginal flaps and buccal free grafts can be used for onlay urethroplasty with good success rates, although many other techniques are described. Pelvic fracture urethral distraction defects (PFUDs) in women are especially rare. Acutely, they may require urgent repair with primary anastomosis (in contradistinction to male PFUDs which are not reanastomosed acutely), and chronic cases may require urethroplasty.
Literatur
1.
Zurück zum Zitat • Blaivas JG, Santos JA, Tsui JF, et al. Management of urethral stricture in women. J Urol. 2012;188:1778–82. Article describes excellent success rates of urethroplasty, poor success rates of urethral dilation, and good outcomes of buccal mucosa graft urethroplasty in patients with stricture recurrence after initial urethroplasty.PubMedCrossRef • Blaivas JG, Santos JA, Tsui JF, et al. Management of urethral stricture in women. J Urol. 2012;188:1778–82. Article describes excellent success rates of urethroplasty, poor success rates of urethral dilation, and good outcomes of buccal mucosa graft urethroplasty in patients with stricture recurrence after initial urethroplasty.PubMedCrossRef
2.
Zurück zum Zitat Schwender CE, Ng L, McGuire E, et al. Technique and results of urethroplasty for female stricture disease. J Urol. 2006;175:976–80.PubMedCrossRef Schwender CE, Ng L, McGuire E, et al. Technique and results of urethroplasty for female stricture disease. J Urol. 2006;175:976–80.PubMedCrossRef
3.
Zurück zum Zitat Groutz A, Blaivas JG, Chaikin DC. Bladder outlet obstruction in women: definition and characteristics. Neurourol Urodyn. 2000;19:213.PubMedCrossRef Groutz A, Blaivas JG, Chaikin DC. Bladder outlet obstruction in women: definition and characteristics. Neurourol Urodyn. 2000;19:213.PubMedCrossRef
4.
Zurück zum Zitat Huang WC, Yang JM. Transvaginal sonography in the treatment of a rare case of total urethral stenosis with vesicovaginal fistula. J Ultrasound Med. 2002;21:463.PubMed Huang WC, Yang JM. Transvaginal sonography in the treatment of a rare case of total urethral stenosis with vesicovaginal fistula. J Ultrasound Med. 2002;21:463.PubMed
5.
6.
Zurück zum Zitat Bueschen AJ, Royal SA. Urethral meatal stenosis in a girl causing severe hydronephrosis. J Urol. 1986;136:1302.PubMed Bueschen AJ, Royal SA. Urethral meatal stenosis in a girl causing severe hydronephrosis. J Urol. 1986;136:1302.PubMed
7.
Zurück zum Zitat Weinberg SR, Kovetz A, Bertoni G, et al. Urethroplasty of female distal urethra. Urology. 1973;1:589.PubMedCrossRef Weinberg SR, Kovetz A, Bertoni G, et al. Urethroplasty of female distal urethra. Urology. 1973;1:589.PubMedCrossRef
8.
Zurück zum Zitat Santucci RA, Payn CK, Saigal CS. Office dilation of the female urethra: a quality of care problem in the field of urology. J Urol. 2008;180:2068.PubMedCrossRef Santucci RA, Payn CK, Saigal CS. Office dilation of the female urethra: a quality of care problem in the field of urology. J Urol. 2008;180:2068.PubMedCrossRef
9.
Zurück zum Zitat Wein AJ, Kavoussi LR, Novick AC, et al. Campbell-Walsh Urology. 9th ed. Philadelphia: WB Saunders; 2007. p. 3946. Wein AJ, Kavoussi LR, Novick AC, et al. Campbell-Walsh Urology. 9th ed. Philadelphia: WB Saunders; 2007. p. 3946.
10.
Zurück zum Zitat McLean P, Emmett JL. Internal urethrotomy in women for recurrent infection and chronic urethritis. J Urol. 1969;101:724.PubMed McLean P, Emmett JL. Internal urethrotomy in women for recurrent infection and chronic urethritis. J Urol. 1969;101:724.PubMed
11.
Zurück zum Zitat Abouassaly R, Steinberg JR, Lemieux M, et al. Complications of tension-free vaginal tape surgery: a multiinstitutional review. BJU Int. 2004;94:110.PubMedCrossRef Abouassaly R, Steinberg JR, Lemieux M, et al. Complications of tension-free vaginal tape surgery: a multiinstitutional review. BJU Int. 2004;94:110.PubMedCrossRef
13.
Zurück zum Zitat Defreitas GA, Zimmern PE, Lemack GE, et al. Refining diagnosis of anatomic female bladder outlet obstruction (comparison of pressure-flow study parameters in clinically obstructed women with those of normal controls). Urology. 2004;64:675.PubMedCrossRef Defreitas GA, Zimmern PE, Lemack GE, et al. Refining diagnosis of anatomic female bladder outlet obstruction (comparison of pressure-flow study parameters in clinically obstructed women with those of normal controls). Urology. 2004;64:675.PubMedCrossRef
14.
Zurück zum Zitat Kuo HC. Urodynamic parameters for the diagnosis of bladder outlet obstruction in women. Urol Int. 2004;72:46.PubMedCrossRef Kuo HC. Urodynamic parameters for the diagnosis of bladder outlet obstruction in women. Urol Int. 2004;72:46.PubMedCrossRef
15.
Zurück zum Zitat Smith AL, Ferlise VJ, Rovner ES. Female urethral strictures: successful management with long-term clean intermittent catheterization after urethral dilation. BJU Int. 2006;98:96.PubMedCrossRef Smith AL, Ferlise VJ, Rovner ES. Female urethral strictures: successful management with long-term clean intermittent catheterization after urethral dilation. BJU Int. 2006;98:96.PubMedCrossRef
17.
Zurück zum Zitat Takao M, Asano T, Nakamura H. Urodynamic studies before and after gradual urethral dilation with metal sounds for female urethral stricture. Hinyokika Kiyo. 1992;38:15.PubMed Takao M, Asano T, Nakamura H. Urodynamic studies before and after gradual urethral dilation with metal sounds for female urethral stricture. Hinyokika Kiyo. 1992;38:15.PubMed
18.
Zurück zum Zitat Steenkamp JW, Heyns CF, DeKock MLS. Internal urethrotomy versus dilation as treatment for male urethral strictures: a prospective randomized comparison. J Urol. 1997;157:98.PubMedCrossRef Steenkamp JW, Heyns CF, DeKock MLS. Internal urethrotomy versus dilation as treatment for male urethral strictures: a prospective randomized comparison. J Urol. 1997;157:98.PubMedCrossRef
19.
Zurück zum Zitat Santucci RA, Eisenberg L. Urethrotomy has a much lower success rate than previously reported. J Urol. 2010;183:1859.PubMedCrossRef Santucci RA, Eisenberg L. Urethrotomy has a much lower success rate than previously reported. J Urol. 2010;183:1859.PubMedCrossRef
20.
Zurück zum Zitat Averous M, Guiter J, Grasset D. Urethral stenosis in the young girl, myth or reality? Comparison of clinical, radiological, instrumental, and urodynamic data. J Urol. 1981;87:67. Averous M, Guiter J, Grasset D. Urethral stenosis in the young girl, myth or reality? Comparison of clinical, radiological, instrumental, and urodynamic data. J Urol. 1981;87:67.
21.
Zurück zum Zitat Heising J, Seiferth J. Meatus stenosis of girls—clinical demonstration and therapy. Urologe A. 1978;17:292.PubMed Heising J, Seiferth J. Meatus stenosis of girls—clinical demonstration and therapy. Urologe A. 1978;17:292.PubMed
22.
Zurück zum Zitat Andrich DE, Mundy AR. Non-transecting anastomotic bulbar urethroplasty: a preliminary report. BJU Int. 2012;109:1090.PubMedCrossRef Andrich DE, Mundy AR. Non-transecting anastomotic bulbar urethroplasty: a preliminary report. BJU Int. 2012;109:1090.PubMedCrossRef
23.
Zurück zum Zitat Simonato A, Varca V, Esposito M, et al. Vaginal flap urethroplasty for wide female stricture disease. J Urol. 2010;184:1381.PubMedCrossRef Simonato A, Varca V, Esposito M, et al. Vaginal flap urethroplasty for wide female stricture disease. J Urol. 2010;184:1381.PubMedCrossRef
24.
Zurück zum Zitat Gormley EA. Vaginal flap urehtroplasty for female urethral stricture disease. Neurourol Urodyn. 2010;29:S42.PubMedCrossRef Gormley EA. Vaginal flap urehtroplasty for female urethral stricture disease. Neurourol Urodyn. 2010;29:S42.PubMedCrossRef
25.
Zurück zum Zitat Montorsi F, Salonia A, Centemero A, et al. Vestibular flap urethroplasty for strictures of the female urethra. Urol Int. 2002;69:12.PubMedCrossRef Montorsi F, Salonia A, Centemero A, et al. Vestibular flap urethroplasty for strictures of the female urethra. Urol Int. 2002;69:12.PubMedCrossRef
26.
Zurück zum Zitat Tanello M, Frego E, Simeone C, et al. Use of pedical flap from the labia minora for repair of female urethral strictures. Urol Int. 2002;69:95.PubMedCrossRef Tanello M, Frego E, Simeone C, et al. Use of pedical flap from the labia minora for repair of female urethral strictures. Urol Int. 2002;69:95.PubMedCrossRef
27.
Zurück zum Zitat Rehder P, Glodny B, Pchler R, et al. Dorsal urethroplasty with labia minora skin graft for female urethral strictures. BJU Int. 2010;106:1211.PubMedCrossRef Rehder P, Glodny B, Pchler R, et al. Dorsal urethroplasty with labia minora skin graft for female urethral strictures. BJU Int. 2010;106:1211.PubMedCrossRef
28.
Zurück zum Zitat Gozzi C, Roosen A, Bastian PJ, et al. Volar onlay urethroplasty for reconstruction of female urethra in recurrent stricture disease. BJU Int. 2010;107:1964.PubMedCrossRef Gozzi C, Roosen A, Bastian PJ, et al. Volar onlay urethroplasty for reconstruction of female urethra in recurrent stricture disease. BJU Int. 2010;107:1964.PubMedCrossRef
30.
Zurück zum Zitat • Onol FF, Antar B, Kose O, et al. Techniques and results of urethroplasty for female urethral strictures: our experience with 17 patients. Urology. 2011;77:1318. Article attests to good success rates from primary urethroplasty.PubMedCrossRef • Onol FF, Antar B, Kose O, et al. Techniques and results of urethroplasty for female urethral strictures: our experience with 17 patients. Urology. 2011;77:1318. Article attests to good success rates from primary urethroplasty.PubMedCrossRef
31.
Zurück zum Zitat Sharma GK, Pandey A, Bansal H, et al. Dorsal onlay lingual mucosal graft urethroplasty for urethral strictures in women. BJU Int. 2009;105:1309.PubMedCrossRef Sharma GK, Pandey A, Bansal H, et al. Dorsal onlay lingual mucosal graft urethroplasty for urethral strictures in women. BJU Int. 2009;105:1309.PubMedCrossRef
32.
Zurück zum Zitat Berglund RK, Vasavada S, Angermeier K, et al. Buccal mucosa graft urethroplasty for recurrent stricture of female urethra. Urology. 2006;67:1069.PubMedCrossRef Berglund RK, Vasavada S, Angermeier K, et al. Buccal mucosa graft urethroplasty for recurrent stricture of female urethra. Urology. 2006;67:1069.PubMedCrossRef
33.
Zurück zum Zitat Migliari R, Leone P, Berdondini E, et al. Dorsal buccal mucosa graft urethroplasty for female urethral strictures. J Urol. 2006;176:1473.PubMedCrossRef Migliari R, Leone P, Berdondini E, et al. Dorsal buccal mucosa graft urethroplasty for female urethral strictures. J Urol. 2006;176:1473.PubMedCrossRef
34.
Zurück zum Zitat Hosseini J, Tavakkoli TK, Razi A. Delayed retropubic urethroplasty of completely transected urethra associated with pelvic fracture in girls. Urol J. 2009;6:272.PubMed Hosseini J, Tavakkoli TK, Razi A. Delayed retropubic urethroplasty of completely transected urethra associated with pelvic fracture in girls. Urol J. 2009;6:272.PubMed
35.
Zurück zum Zitat Xu YM, Sa YL, FU Q. Transpubic access using pedicle tubularized labial urethroplasty for the treatment of female urethral strictures associated with urethrovaginal fistulas secondary to pelvic fracture. Eur Urol. 2009;56:193.PubMedCrossRef Xu YM, Sa YL, FU Q. Transpubic access using pedicle tubularized labial urethroplasty for the treatment of female urethral strictures associated with urethrovaginal fistulas secondary to pelvic fracture. Eur Urol. 2009;56:193.PubMedCrossRef
36.
Zurück zum Zitat Mundy AR, Andrich DE. Entero-urethroplasty for the salvage of bulbo-membranous stricture disease or trauma. BJU Int. 2009;105:1716.PubMedCrossRef Mundy AR, Andrich DE. Entero-urethroplasty for the salvage of bulbo-membranous stricture disease or trauma. BJU Int. 2009;105:1716.PubMedCrossRef
Metadaten
Titel
Evaluation and Treatment of Female Urethral Stricture Disease
verfasst von
Richard Santucci
Mang Chen
Publikationsdatum
01.06.2013
Verlag
Current Science Inc.
Erschienen in
Current Bladder Dysfunction Reports / Ausgabe 2/2013
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-013-0176-9

Weitere Artikel der Ausgabe 2/2013

Current Bladder Dysfunction Reports 2/2013 Zur Ausgabe

BPH-Related Voiding Dysfunction (Y Kojima, Section Editor)

Natural History of Lower Urinary Tract Symptoms Secondary to BPH

Voiding Dysfunction Evaluation (H Atiemo, Section Editor)

Contemporary Evaluation and Management of Diabetic Cystopathy

BPH-Related Voiding Dysfunction (Y Kojima, Section Editor)

Contemporary Combination Therapy in the Treatment of LUTS/BPH

Alphablocker schützt vor Miktionsproblemen nach der Biopsie

16.05.2024 alpha-1-Rezeptorantagonisten Nachrichten

Nach einer Prostatabiopsie treten häufig Probleme beim Wasserlassen auf. Ob sich das durch den periinterventionellen Einsatz von Alphablockern verhindern lässt, haben australische Mediziner im Zuge einer Metaanalyse untersucht.

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

12.05.2024 Prostatakarzinom Nachrichten

Ein hoher Anteil pflanzlicher Nahrung trägt möglicherweise dazu bei, das Progressionsrisiko von Männern mit Prostatakarzinomen zu senken. In einer US-Studie war das Risiko bei ausgeprägter pflanzlicher Ernährung in etwa halbiert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.