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Female urethral stricture:techniques for reconstruction

作     者:Ignacio Alvarez de Toledo Jessica DeLong Ignacio Alvarez de Toledo;Jessica DeLong

作者机构:Department of UrologyEastern Virginia Medical SchoolNorfolkVA 23462USA 

出 版 物:《Plastic and Aesthetic Research》 (整形与美容研究(英文版))

年 卷 期:2022年第9卷第1期

页      面:434-444页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Urethra female urethral stricture female urethroplasty buccal mucosal graft vaginal flap 

摘      要:Female urethral stricture(FUS)is a rare *** was not studied robustly for many years,but interest has grown recently in the reconstructive urology community,leading to an increase in *** this review,we gather the latest data regarding FUS and its different therapeutic *** are summarized,split by *** also review the recently published European *** addition,we share our preferred surgical technique and our views on future *** FUS can often be challenging and requires a high index of clinical *** vague clinical symptoms and empiric initial treatments combine to make FUS an underdiagnosed *** lack of consensus on how to define FUS also compounds the *** diagnosis requires thorough investigation,and ancillary studies such as video urodynamics,cystoscopy,and voiding cystourethrogram may be *** options range from conservative management to definitive procedures,although studies have shown that conservative measures such as urethral dilation have a low success rate *** definitive management,augmented urethroplasty-using either flaps or grafts,has proven to be the gold *** have shown excellent results over time;however,there is insufficient data available to recommend one over the *** data has an overall poor level of *** challenging due to the rarity of the problem,a proper randomized controlled clinical trial comparing the principal surgical options and their outcomes would be beneficial and would allow for more informed decision making when considering options for women with urethral stricture.

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