Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16083
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dc.contributor.authorHoag, Nathan-
dc.contributor.authorGani, Johan-
dc.contributor.authorChee, Justin-
dc.date2016-07-05-
dc.date.accessioned2016-07-26T04:09:25Z-
dc.date.available2016-07-26T04:09:25Z-
dc.date.issued2016-07-
dc.identifier.citationInvestigative and Clinical Urology 2016; 57(4):289-302en_US
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/16083-
dc.description.abstractPURPOSE: To present a novel modification of surgical technique to treat female urethral stricture (FUS) by a vaginal-sparing ventral buccal mucosal urethroplasty. Recurrent FUS represents an uncommon, though difficult clinical scenario to manage definitively. A variety of surgical techniques have been described to date, yet a lack of consensus on the optimal procedure persists. MATERIALS AND METHODS: We present a 51-year-old female with urethral stricture involving the entire urethra. Suspected etiology was iatrogenic from cystoscopy 17 years prior. Since then, the patient had undergone at least 25 formal urethral dilations and periods of self-dilation. In lithotomy position, the urethra was dilated to accommodate forceps, and ventral urethrotomy carried out sharply, exposing a bed of periurethral tissue. Buccal mucosa was harvested, and a ventral inlay technique facilitated by a nasal speculum, was used to place the graft from the proximal urethra/bladder neck to urethral meatus without a vaginal incision. Graft was sutured into place, and urethral Foley catheter inserted. RESULTS: The vaginal-sparing ventral buccal mucosal graft urethroplasty was deemed successful as of last follow-up. Flexible cystoscopy demonstrated patency of the repair at 6 months. At 10 months of follow-up, the patient was voiding well, with no urinary incontinence. No further interventions have been required. CONCLUSIONS: This case describes a novel modification of surgical technique for performing buccal mucosal urethroplasty for FUS. By avoiding incision of the vaginal mucosa, benefits may include reduced: morbidity, urinary incontinence, and wound complications including urethro-vaginal fistula.en_US
dc.subjectBuccal mucosaen_US
dc.subjectfemaleen_US
dc.subjectReconstructive surgical proceduresen_US
dc.subjectUrethral strictureen_US
dc.titleVaginal-sparing ventral buccal mucosal graft urethroplasty for female urethral stricture: A novel modification of surgical techniqueen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleInvestigative and Clinical Urologyen_US
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Urology, Austin Health, University of Melbourne, Heidelberg, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27437540en_US
dc.identifier.doi10.4111/icu.2016.57.4.298en_US
dc.type.contentTexten_US
dc.type.austinJournal Articleen_US
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
crisitem.author.deptUrology-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptUrology-
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