2023, Number 4
<< Back Next >>
Rev Mex Urol 2023; 83 (4)
Female urethral stricture: an underdiagnosed condition
Orejuela-Arcila KV, Robayo JA, García-Perdomo HA
Language: Spanish
References: 26
Page: 1-17
PDF size: 363.96 Kb.
ABSTRACT
Introduction: Urethral stricture is defined as a fixed, symptomatic
anatomical narrowing of the urinary canal, that do
not adapt to urethral instrumentation, however, in the case
of women it is a controversial pathology and is frequently
not diagnosed, which leads to an inadequate selection of
treatment.
Objective and methodology: There are few studies that
show clear diagnostic parameters and a prevalence with a
wide range, in addition to a low bibliographic resource, for
which reason this project will review the definition, anatomy,
etiology, clinical manifestations, diagnosis, and treatment
of this pathology in the female population.
Conclusions: It is important to know both the anatomy of
the female urethra and the possible etiologies of urethral
stenosis in order to get closer to the diagnosis and offer the
appropriate treatment in each case, depending on the patient’s
symptoms.
REFERENCES
Gómez V, Hernández V, Capitan C, CarreraC, Sánchez M, De la Peña E, et al. Urethralstricture in women. Morphofunctional diagnosisand treatment. Arch Esp Urol. 2011 Mar;64(2):97–104.
Audouin M, Sèbe P. Uretra femenina normal ypatológica. EMC - Urología. 2014 Jun;46(2):1–13. doi: https://doi.org/10.1016/s1761-3310(14)67534-4
Karam I, Droupy S, Abd-Alsamad I, Uhl J-F,Benoît G, Delmas V. Innervation of the FemaleHuman Urethral Sphincter: 3D Reconstructionof Immunohistochemical Studies in the Fetus.European Urology. 2005 May;47(5):627–34. doi:https://doi.org/10.1016/j.eururo.2005.01.001
Montorsi F, Salonia A, Centemero A, GuazzoniG, Nava L, Da Pozzo LF, et al. Vestibular FlapUrethroplasty for Strictures of the FemaleUrethra. Urol Int. 2002;69(1):12–6. doi: https://doi.org/10.1159/000064353
Thind P. The significance of smooth andstriated muscles in the sphincter functionof the urethra in healthy women. NeurourolUrodyn. 1995;14(6):585–618. doi: https://doi.org/10.1002/nau.1930140602
Stein TA, DeLancey JOL. Structure ofthe Perineal Membrane in Females: Grossand Microscopic Anatomy. Obstetrics &Gynecology. 2008;111(3):686–93. doi: https://doi.org/10.1097/aog.0b013e318163a9a5
Gutiérrez Ruiz C, Rodríguez-EscovarF, Errando Smet C, Arañó Bertrán P,Villavicencio Mavrich H. Estenosis uretral enla mujer: Etiología, diagnóstico y tratamiento.Actas Urológicas Españolas. 2009;33(7):794–
doi: https://doi.org/10.1016/S0210-4806(09)74232-98. Berglund RK, Vasavada S, Angermeier K,Rackley R. Buccal mucosa graft urethroplastyfor recurrent stricture of female urethra.Urology. 2006;67(5):1069–71. doi: 10.1016/j.urology.2005.12.010
Palou J, Caparros J, Vicente J. Use of proximalbasedvaginal flap in stricture of the femaleurethra. Urology. 1996;47(5):747–9. doi: https://doi.org/10.1016/s0090-4295(96)00031-3
Tanello M, Frego E, Simeone C, CoscianiCunico S. Use of Pedicle Flap from the Labiaminora for the Repair of Female UrethralStrictures. Urol Int. 2002;69(2):95–8. doi:https://doi.org/10.1159/000065554
Blaivas JG, Sandhu J. Urethral reconstructionafter erosion of slings in women: Current Opinionin Urology. 2004;14(6):335–8. doi: https://doi.org/10.1097/00042307-200411000-00007
Flisser AJ, Blaivas JG. Outcome of UrethralReconstructive Surgery in a Series of 74Women. Journal of Urology. 2003;169(6):2246–9. doi: https://doi.org/10.1097/01.ju.0000061763.88247.16
Blanco Díez A, Álvarez Castelo L, FernándezRosado E, Sánchez Rodríguez-Losada J,Chantada Abal V, Novas Castro S, et al. Roturatraumática de uretra femenina: una rara entidad.Aportación de dos casos. Actas UrológicasEspañolas. 2004;28(4):318–23.
Smith AL, Ferlise VJ, Rovner ES. Femaleurethral strictures: successful management withlong-term clean intermittent catheterizationafter urethral dilatation. BJU Int. 2006;98(1):96–9. doi: https://doi.org/10.1111/j.1464-410x.2006.06206.x
Spilotros M, Malde S, Solomon E, GrewalM, Mukhtar BM, Pakzad M, et al. Femaleurethral stricture: a contemporary series. WorldJ Urol. 2017;35(6):991–5. doi: https://doi.org/10.1007/s00345-016-1947-7
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. doi: https://doi.org/10.1007/s11934-019-0933-1
Nitti VW, Tu LM, Gitlin J. Diagnosingbladder outlet obstruction in women. J Urol.1999;161(5):1535–40.
Aldamanhori R, Inman R. The treatment ofcomplex female urethral pathology. AsianJ Urol. 2018;5(3):160–3. doi: https://doi.org/10.1016/j.ajur.2018.03.003
Migliari R, Leone P, Berdondini E, De AngelisM, Barbagli G, Palminteri E. Dorsal buccalmucosa graft urethroplasty for female urethralstrictures. J Urol. 2006;176(4 Pt 1):1473–6. doi:https://doi.org/10.1016/j.juro.2006.06.043
Schwender CEB, Ng L, McGuire E, GormleyEA. Technique and Results of Urethroplastyfor Female Stricture Disease. Journal ofUrology. 2006;175(3):976–80. doi: https://doi.org/10.1016/s0022-5347(05)00336-8
Rehder P, Glodny B, Pichler R, Exeli L,Kerschbaumer A, Mitterberger MJ. Dorsalurethroplasty with labia minora skin graft forfemale urethral strictures. BJU International.2010;106(8):1211–4. doi: https://doi.org/10.1111/j.1464-410x.2010.09240.x
Blaivas JG, Santos JA, Tsui JF, Deibert CM,Rutman MP, Purohit RS, et al. Managementof Urethral Stricture in Women. Journal ofUrology. 2012;188(5):1778–82. doi: https://doi.org/10.1016/j.juro.2012.07.042
Osman NI, Mangera A, Chapple CR. Asystematic review of surgical techniques usedin the treatment of female urethral stricture.Eur Urol. 2013;64(6):965–73. doi: https://doi.org/10.1016/j.eururo.2013.07.038
Sharma GK, Pandey A, Bansal H, Swain S, DasSK, Trivedi S, et al. Dorsal onlay lingual mucosalgraft urethroplasty for urethral stricturesin women. BJU Int. 2010;105(9):1309–12. doi: https://doi.org/10.1111/j.1464-410x.2009.08951.x
Lane GI, Smith AL, Stambakio H, Lin G,Al Hussein Alawamlh O, Anger JT, et al.Treatment of urethral stricture disease inwomen: A multi-institutional collaborativeproject from the SUFU research network.Neurourol Urodyn. 2020;39(8):2433–41. doi:https://doi.org/10.1002/nau.24507
Chua KJ, Mikhail M, Patel HV, Tabakin AL,Doppalapudi SK, Sterling J, et al. Treatmentof Urethral Stricture Disease in Women:Nonsystematic Review of Surgical Techniquesand Intraoperative Considerations. Res RepUrol. 2021;13:381–406. doi: https://doi.org/10.2147/rru.s282651