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.

Cite this article as: Joshi PM, Kulkarni SB. A new technique of double-face buccal graft urethroplasty for female urethral strictures. Turk J Urol 2020; 46(2): 165-8.