Erschienen in:
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
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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.