Dorsal urethroplasty with labia minora skin graft for female urethral strictures
Article first published online: 4 MAR 2010
© 2010 THE AUTHORS. JOURNAL COMPILATION © 2010 BJU INTERNATIONAL
Volume 106, Issue 8, pages 1211–1214, October 2010
How to Cite
Rehder, P., Glodny, B., Pichler, R., Exeli, L., Kerschbaumer, A. and Mitterberger, M. J. (2010), Dorsal urethroplasty with labia minora skin graft for female urethral strictures. BJU International, 106: 1211–1214. doi: 10.1111/j.1464-410X.2010.09240.x
- Issue published online: 4 MAR 2010
- Article first published online: 4 MAR 2010
- Accepted for publication 27 November 2009
- female urethral stricture;
- skin graft;
- labia minora;
- reconstructive urology
Study Type – Therapy (case series) Level of Evidence 4
To report a new dorsal labia minora skin-graft urethroplasty as a simple, safe and effective therapeutic alternative for female urethral strictures, as although distal urethral strictures can be treated by meatoplasty, proximal and mid-urethral strictures need appropriate urethroplasty.
PATIENTS AND METHODS
Eight women with a confirmed proximal or mid-urethral stricture had indications for urethroplasty with the use of a thin free labia minora skin graft using a dorsal (6 o’clock position) urethroplasty technique. Full informed consent was obtained. From the inner aspect of one labium minora a thin free skin flap was prepared. The strictured urethra and the anterior vaginal wall were transected and the graft sutured into the defect. All scar tissue was removed and the anterior vaginal wall closed in two layers over the area of the urethroplasty. Continence was evaluated by a stress test with a full bladder.
All patients were operated on with no complications during or after surgery. After 1 and 2 years of follow-up seven and six of the eight patients had no recurrence of stricture disease. All patients remained continent.
The urethroplasty using an inlay of free thin genital skin graft was safe, uncomplicated and effective.