Female Urethroplasty: Outcomes of Different Techniques in a Single Center
Introduction: Female urethral strictures and injuries are relatively uncommon compared to males. A wide range of possible causes and treatment modalities have been described. Lately female urethral reconstruction is gaining attention and is fortunately no longer a neglected topic within the reconstr...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/17/3950 |
| _version_ | 1797521278680170496 |
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| author | Marjan Waterloos Wesley Verla Michel Wirtz Mieke Waterschoot Wietse Claeys Philippe Francois Nicolaas Lumen |
| author_facet | Marjan Waterloos Wesley Verla Michel Wirtz Mieke Waterschoot Wietse Claeys Philippe Francois Nicolaas Lumen |
| author_sort | Marjan Waterloos |
| collection | DOAJ |
| description | Introduction: Female urethral strictures and injuries are relatively uncommon compared to males. A wide range of possible causes and treatment modalities have been described. Lately female urethral reconstruction is gaining attention and is fortunately no longer a neglected topic within the reconstructive urology. As such, we aimed to describe our surgical techniques and outcomes for female urethroplasty from a tertiary center. Materials and Methods: Records of female patients who underwent a urethroplasty between July 2018 and May 2021 in our tertiary referral center were reviewed. Patients were subdivided in two groups: patients who suffered from a urethral injury and received an early repair urethroplasty, and patients with a true urethral stricture who received a delayed urethroplasty. Preprocedural, surgical and postoperative data were collected and analyzed with descriptive statistics. Results: A total of five patients in group 1 and nine patients in group 2 were included. Etiology of the urethral injury in group 1 was iatrogenic in 80% and transitional cell carcinoma of the urethra in 20% of cases. A patency rate of 100% at a follow-up of 30 months was achieved with the different techniques. In group 2 etiology was idiopathic (44%), iatrogenic (44%) and due to external trauma in 12% of cases. Urethroplasty technique consisted of primary repair or dorsal onlay of a buccal mucosal graft. Patency rate was 100% at a median follow-up of 13 months. Three patients suffered from postoperative urinary incontinence, one in group 1 and two in group 2. Conclusion: Female urethroplasty is a relatively rare entity within reconstructive urethral surgery. This case series of 14 patients demonstrates that with appropriate surgical techniques, a high patency rate with a low complication rate can be achieved. Further prospective studies with standardized diagnostic workup and follow-up should be performed in order to optimize management strategy. |
| first_indexed | 2024-03-10T08:09:19Z |
| format | Article |
| id | doaj.art-fc8b88f2ef6e4ff7889aa5ae07dfd21a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T08:09:19Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-fc8b88f2ef6e4ff7889aa5ae07dfd21a2023-11-22T10:49:49ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011017395010.3390/jcm10173950Female Urethroplasty: Outcomes of Different Techniques in a Single CenterMarjan Waterloos0Wesley Verla1Michel Wirtz2Mieke Waterschoot3Wietse Claeys4Philippe Francois5Nicolaas Lumen6AZ Maria Middelares Gent, 9000 Ghent, BelgiumGhent University Hospital, 9000 Ghent, BelgiumGhent University Hospital, 9000 Ghent, BelgiumGhent University Hospital, 9000 Ghent, BelgiumGhent University Hospital, 9000 Ghent, BelgiumCentre Hospitalier de Mouscron, 7700 Mouscron, BelgiumGhent University Hospital, 9000 Ghent, BelgiumIntroduction: Female urethral strictures and injuries are relatively uncommon compared to males. A wide range of possible causes and treatment modalities have been described. Lately female urethral reconstruction is gaining attention and is fortunately no longer a neglected topic within the reconstructive urology. As such, we aimed to describe our surgical techniques and outcomes for female urethroplasty from a tertiary center. Materials and Methods: Records of female patients who underwent a urethroplasty between July 2018 and May 2021 in our tertiary referral center were reviewed. Patients were subdivided in two groups: patients who suffered from a urethral injury and received an early repair urethroplasty, and patients with a true urethral stricture who received a delayed urethroplasty. Preprocedural, surgical and postoperative data were collected and analyzed with descriptive statistics. Results: A total of five patients in group 1 and nine patients in group 2 were included. Etiology of the urethral injury in group 1 was iatrogenic in 80% and transitional cell carcinoma of the urethra in 20% of cases. A patency rate of 100% at a follow-up of 30 months was achieved with the different techniques. In group 2 etiology was idiopathic (44%), iatrogenic (44%) and due to external trauma in 12% of cases. Urethroplasty technique consisted of primary repair or dorsal onlay of a buccal mucosal graft. Patency rate was 100% at a median follow-up of 13 months. Three patients suffered from postoperative urinary incontinence, one in group 1 and two in group 2. Conclusion: Female urethroplasty is a relatively rare entity within reconstructive urethral surgery. This case series of 14 patients demonstrates that with appropriate surgical techniques, a high patency rate with a low complication rate can be achieved. Further prospective studies with standardized diagnostic workup and follow-up should be performed in order to optimize management strategy.https://www.mdpi.com/2077-0383/10/17/3950female urethral stricturefemale urethroplastyfemale urethral injury |
| spellingShingle | Marjan Waterloos Wesley Verla Michel Wirtz Mieke Waterschoot Wietse Claeys Philippe Francois Nicolaas Lumen Female Urethroplasty: Outcomes of Different Techniques in a Single Center Journal of Clinical Medicine female urethral stricture female urethroplasty female urethral injury |
| title | Female Urethroplasty: Outcomes of Different Techniques in a Single Center |
| title_full | Female Urethroplasty: Outcomes of Different Techniques in a Single Center |
| title_fullStr | Female Urethroplasty: Outcomes of Different Techniques in a Single Center |
| title_full_unstemmed | Female Urethroplasty: Outcomes of Different Techniques in a Single Center |
| title_short | Female Urethroplasty: Outcomes of Different Techniques in a Single Center |
| title_sort | female urethroplasty outcomes of different techniques in a single center |
| topic | female urethral stricture female urethroplasty female urethral injury |
| url | https://www.mdpi.com/2077-0383/10/17/3950 |
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