Urethral stricture is a rare condition in women, representing a diagnostic challenge for the urologist. Its main etiology is traumatic or due to labor. Definitive treatment can be by means of dilations or urethroplasty using both local flaps and free grafts. In this study, we report the case of a patient with voiding symptoms during a period of 9 years after childbirth, despite an attempt of urethral dilation and chronic self-catheterization. The patient was finally diagnosed of a long distal urethral stricture, and she underwent urethroplasty with an anterior vaginal wall flap with satisfactory results. We take the opportunity to briefly review the diagnostic pathway in women with obstructive symptoms and the main female urethroplasty techniques.

1.
Osman
NI
,
Chapple
CR
.
Contemporary surgical management of female urethral stricture disease
.
Curr Opin Urol
.
2015
;
25
(
4
):
341
5
. .
2.
Spilotros
M
,
Malde
S
,
Solomon
E
,
Grewal
M
,
Mukhtar
BM
,
Pakzad
M
,
Female urethral stricture: a contemporary series
.
World J Urol
.
2017
;
35
(
6
):
991
5
. .
3.
Blaivas
JG
,
Santos
JA
,
Tsui
JF
,
Deibert
CM
,
Rutman
MP
,
Purohit
RS
,
Management of urethral stricture in women
.
J Urol
.
2012
;
188
(
5
):
1778
82
. .
4.
Agochukwu-Mmonu
N
,
Srirangapatanam
S
,
Cohen
A
,
Breyer
B
.
Female urethral strictures: review of diagnosis, etiology, and management
.
Curr Urol Rep
.
2019
;
20
(
11
):
74
. .
5.
Osman
NI
,
Mangera
A
,
Chapple
CR
.
A systematic review of surgical techniques used in the treatment of female urethral stricture
.
Eur Urol
.
2013
;
64
(
6
):
965
73
. .
6.
Hoag
N
,
Chee
J
.
Surgical management of female urethral strictures
.
Transl Androl Urol
.
2017
;
6
(
Suppl 2
):
S76
s80
. .
7.
Waterloos
M
,
Verla
W
.
Female urethroplasty: a practical guide emphasizing diagnosis and surgical treatment of female urethral stricture disease
.
Biomed Res Int
.
2019
;
2019
:
6715257
. .
8.
Lane
GI
,
Smith
AL
,
Stambakio
H
,
Lin
G
,
Al Hussein Alawamlh
O
,
Anger
JT
,
Treatment of urethral stricture disease in women: a multi-institutional collaborative project from the SUFU research network
.
Neurourol Urodyn
.
2020
;
39
(
8
):
2433
41
. .
9.
Nayak
P
,
Mandal
S
,
Das
M
.
Ventral-inlay buccal mucosal graft urethroplasty for female urethral stricture
.
Indian J Urol
.
2019
;
35
(
4
):
273
7
.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.