Urethral stricture in women

作者：Escribano Patino Gregorio; Husillos Alonso Adrian; Rodriguez Fernandez Elena; Cancho Gil Maria Jose; Hernandez Fernandez Carlos

来源：Archivos Espanoles de Urologia, 2014, 67(1): 129-137.

• Stenosis
• Urethra
• Female
• Urethral surgery

To perform a bibliographic review on female urethra stenosis, following the criteria for evidence based medicine.
METHODS: We performed a PubMed Search with the following keywords: "female urethral stricture", "women urethral stricture", "female urethral reconstruction" and "female urethral stricture treatment", without time limits, both in English and Spanish languages.
RESULTS: Female urethra stenosis is a rare pathology, in which the working diagnosis is essential, as much as detailed physical examination, urodynamic study and radiological tests.
We found in the literature a total of 73 cases treated with dilation with or without maintenance self catheterization, 120 cases treated with meatotomy, 65 cases treated by flap urethroplasty (46 with vaginal flap, 17 with vestibular flap and 12 with labia minora graft and 28 with oral mucosa grafts).
There are not comparative studies between the various techniques, making it difficult to set up a therapeutic algorithm.
CONCLUSIONS: The surgical treatment with flaps/grafts has the highest success rate; whereas less invasive procedures such as urethrotomy/meatotomy/dilations/self-catheterization should be reserved for short female urethra stenosis or women with high comorbidily

• 出版日期2014-2