A new technique of double-face buccal graft urethroplasty for female urethral strictures.

OBJECTIVE

Urethral strictures in women are rare compared with those in men. Three defined approaches for their treatment have been mentioned in the available literature: dorsal onlay, ventral onlay, and ventral inlay. Here we describe double-face buccal graft urethroplasty, a new technique for treating obliterative urethral strictures in women.

MATERIAL AND

METHODS

A 37-year-old woman presented with a catheter-induced stricture, multiple dilatations for which had failed. Micturating urethrogram revealed near-obliterative mid and distal strictures. An inlay incision was made in the posterior wall and then the anterior wall. A buccal graft was inserted as a double-face dorsal and ventral inlay in the urethra.

RESULTS

The patient had normal unobstructed voiding during a follow-up of 6 months.

CONCLUSION

Double-face buccal graft urethroplasty is safe, feasible, and easy to perform and a good option for women with near-obliterative urethral strictures. To our knowledge, this is the first ever reported case of double-face urethroplasty in a woman.