scholarly journals Dorsal Vaginal Graft Urethroplasty as a Treatment for Female Urethral Stricture: Case Reports of Four Patients

2018 ◽  
Vol 11 (4) ◽  
pp. 2163-2167 ◽  
Author(s):  
Kadek Budi Santosa ◽  
Pande Made WisnuTirtayasa ◽  
AnakAgung Gde Oka

Female urethral stricture is uncommon and difficult to diagnose. Currently, only a small amount of literature has reported the successful treatment of female urethral stricture using a reconstruction approach. In this study we describe our results with the management of female urethral stricture using a dorsal vaginal graft. Four patients were diagnosed with female urethral stricture and were treated with urethral reconstruction using a dorsal vaginal graft. Primary urethroplasty using dorsal vaginal graft can be considered as a first-line option in the management of female urethral stricture, especially in centers with experience in graft-based reconstruction.

2019 ◽  
pp. 1-3
Author(s):  
Deepak Kumar ◽  
Namita Gupta

Female urethral stricture is an underdiagnosed and overlooked cause of female bladder outlet obstruction. It is uncommon and difficult to diagnose. The possible etiologies may be infection, prior dilation, difficult catheterization with subsequent fibrosis, urethral surgery, trauma or idiopathic. Currently, only a small amount of literature has reported the successful treatment of female urethral stricture using a reconstruction approach. In this study we describe our results with the management of female urethral stricture using a dorsal vaginal graft. Four patients were diagnosed with female urethral stricture and were treated with urethral reconstruction using a dorsal vaginal graft. Primary urethroplasty using dorsal vaginal graft can be considered as a first-line option in the management of female urethral stricture, especially in centers with experience in graft-based reconstruction.


2019 ◽  
pp. 1-3
Author(s):  
Deepak Kumar ◽  
Namita Gupta

Female urethral stricture is an underdiagnosed and overlooked cause of female bladder outlet obstruction. It is uncommon and difficult to diagnose. The possible etiologies may be infection, prior dilation, difficult catheterization with subsequent fibrosis, urethral surgery, trauma or idiopathic. Currently, only a small amount of literature has reported the successful treatment of female urethral stricture using a reconstruction approach. In this study we describe our results with the management of female urethral stricture using a dorsal vaginal graft. Four patients were diagnosed with female urethral stricture and were treated with urethral reconstruction using a dorsal vaginal graft. Primary urethroplasty using dorsal vaginal graft can be considered as a first-line option in the management of female urethral stricture, especially in centers with experience in graft-based reconstruction.


Neurosurgery ◽  
2016 ◽  
Vol 79 (5) ◽  
pp. E634-E638 ◽  
Author(s):  
Marcus D. Mazur ◽  
Philipp Taussky ◽  
Joel D. MacDonald ◽  
Min S. Park

Abstract BACKGROUND AND IMPORTANCE: As the use of flow-diverting stents (FDSs) for intracranial aneurysms expands, a small number of case reports have described the successful treatment of blister aneurysms of the internal carotid artery with flow diversion. Blister aneurysms are uncommon and fragile lesions that historically have high rates of morbidity and mortality despite multiple treatment strategies. We report a case of rebleeding after treatment of a ruptured blister aneurysm with deployment of a single FDS. CLINICAL PRESENTATION: A 29-year-old man presented with subarachnoid hemorrhage and a ruptured dorsal variant internal carotid artery aneurysm. Despite a technically successful treatment with a single FDS, a second catastrophic hemorrhage occurred during the course of his hospitalization. CONCLUSION: This case highlights the risk of hemorrhage during the period after deployment of a single FDS. Ruptured aneurysms, especially of the blister type, are at risk for rehemorrhage while the occlusion remains incomplete after flow diversion.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Masaki Nakamura ◽  
Yuji Hakozaki ◽  
Shohei Iwata ◽  
Yusuke Sato ◽  
Katsuhiro Makino ◽  
...  

Abstract Background Vulvar Paget’s disease (VPD) is a rare malignant disorder originating in the external genitalia. It occasionally invades into urethral or vaginal mucosa of female, making surgical treatment more complicating. In case of urethral invasion of Paget’s cells, systematic mapping biopsy of urethral mucosa is the standard of care to determine the range of surgical resection. Resection of urethral mucosa and simple skin grafting often result in urethral stricture after surgery, which severely deteriorates patient’s quality of life. Case presentation We applied a new technique of advancement urethral meatoplasty using buccal mucosa, in two Japanese cases of VPD with urethral invasion. After broad resection of vulvar skin together with the urethral mucosa, buccal mucosa was implanted between advanced urethral mucosa and skin graft. In both cases, we could prevent urethral stricture one year and two years after surgery, respectively. Conclusion This technique prevented urethral stricture after surgery and could be a useful technique as part of urethroplasty for VPD.


2017 ◽  
Vol 183 (2) ◽  
pp. 471-478 ◽  
Author(s):  
Paula Gonçalves Viana ◽  
Anna Barreto Fernandes Figueiredo ◽  
Isabella Dib Ferreira Gremião ◽  
Luisa Helena Monteiro de Miranda ◽  
Isabela Maria da Silva Antonio ◽  
...  

Author(s):  
Adem Emrah Coguplugil ◽  
Turgay Ebiloglu ◽  
Selcuk Sarikaya ◽  
Sercan Yilmaz ◽  
Bahadir Topuz ◽  
...  

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