Presentation Authors: Angelo E Gousse*, Jan-Michael Pohudka, Miami, FL, Hari Tunuguntla, New Brunswick, NJ
Introduction: Female urethral stricture is an uncommon yet debilitating condition. Although many operations have been described to treat this condition, buccal mucosal graft (BMG-U) and vaginal rotational flap (VRP-U) urethroplasty have emerged as novel and effective techniques to treat female urethral stricture (FUS). While a few small series have reported on the patency rate, none have focused on post-operative urinary incontinence and voiding dysfunction.
Methods: From July 2011 to October 2018 we performed a retrospective analysis of post operative voiding dysfunction in 25 patients who underwent female urethroplasty by a single surgeon (AEG) at our institution. Mean age 58 years (24-79). Mean Follow up 38 months (7-68). Inclusion criteria for repair included: obstructive urinary symptoms, PVR > 100 ml, and urethral stricture
Results: 22 out of 25 (88%) patients achieved long-term patency and never required a second operation or instrumentation. 2 of the 25 patients (8%) required 1 re-operation, another (4%) 2 re-operations for failed BMG-U X2 and a successful VRF-U to finally achieve patency. Post-operative voiding dysfunction was minimal. No post-operative stress urinary incontinence was noted.
Conclusions: This represents the largest single surgeon series reporting voiding dysfunction after female urethral reconstruction. Our experience indicates that female urethral reconstruction using BMG-U or VRF-U are effective surgical procedures. Stress urinary incontinence is not noted and post op voiding dysfunction is rare. Long term data and larger series is warranted to support this retrospective observation.