Vestibular flap urethroplasty for strictures of the female urethra: Impact on symptoms and flow patterns

Francesco Montorsi, Andrea Salonia, Antonella Centemero, Giorgio Guazzoni, Luciano Nava, Luigi F. Da Pozzo, Andrea Cestari, Renzo Colombo, Guido Barbagli, Patrizio Rigatti

Research output: Contribution to journalArticle

Abstract

Introduction: To assess the impact on subjective symptoms and flow patterns of a new surgical technique designed to correct strictures of the female distal urethra and urethral meatus. Materials and Methods: Seventeen patients (mean age 41.2 years) with symptomatic strictures of either the distal urethra or the urethral meatus entered the study. Patients reporting an AUA score > 20, a diagnosis of bladder outlet obstruction according to the Abrams-Griffiths nomogram and the Schaefer linPURR diagram, urethral calibration <20 F and radiologic evidence of the stricture, were considered eligible for surgery. A pedicled flap isolated from the vaginal vestibule was anastomosed with two longitudinal running sutures along the two edges of an opened urethra. Results: In all cases, diffuse fibrosis of the urethral wall was demonstrated at histological examination. Mean (± SE) preoperative and 12-month follow-up results were as follows: AUA score 25.2 ± 2.1 vs. 8.4 ± 1.2 (p <0.0001); peak flow rate (ml/s) 13.2 ± 1.2 vs. 36 ± 1.5 (p <0.0001); detrusor pressure at Qmax (cm H2O) 45 ± 5 vs. 17 ± 3; residual urine volume (ml) 120 ± 5 vs. 20 ± 5 (p

Original languageEnglish
Pages (from-to)12-16
Number of pages5
JournalUrologia Internationalis
Volume69
Issue number1
DOIs
Publication statusPublished - 2002

Keywords

  • Female
  • Stricture
  • Urethra
  • Urethroplasty

ASJC Scopus subject areas

  • Urology

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