title: Dorsal graft urethroplasty for female urethral stricture.
abstract: OBJECTIVE
  Urethral strictures in females are uncommon, and treatment options and outcome are not well-defined with scanty reports. We describe a new method of urethroplasty for the repair of female urethral stricture.
  
  
  METHODS
  Three 60-year-old females, each with a history of recurrent urinary tract infections and obstructive voiding symptoms due to urethral stricture, underwent urethroplasty with a dorsal vaginal or buccal mucosal graft. The dorsal aspect of the distal urethra was dissected from the surrounding tissue through a suprameatal incision and the urethral wall was incised through the stricture at the 12 o'clock position. A 1.5 cm wide free graft was harvested from the vaginal wall or buccal mucosa in 1 case, and the mucosal surface was placed upon the urethral lumen and sutured with a running 5-zero polyglactin suture to the open urethra. Indwelling 18Fr urethral and 16Fr suprapubic catheters were left in place for 2 and 3 weeks, respectively.
  
  
  RESULTS
  No additional treatment was required during the 1, 8 and 27 months of followup. All patients had normal micturition following catheter removal.
  
  
  CONCLUSIONS
  Dorsal graft urethroplasty is feasible and effective for the correction of persistent female urethral stricture.
authors.affiliation: Department of Urologic Surgery, Wolfson Medical Center, Holon, Tel Aviv University, Israel.
authors.forename: Alexander
authors.initials: A
authors.lastname: Tsivian
authors.forename: A Ami
authors.initials: AA
authors.lastname: Sidi
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods