Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or Open Athens)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Original Paper

Vestibular Flap Urethroplasty for Strictures of the Female Urethra

Impact on Symptoms and Flow Patterns

Montorsi F. · Salonia A. · Centemero A. · Guazzoni G. · Nava L. · Da Pozzo L.F. · Cestari A. · Colombo R. · Barbagli G. · Rigatti P.

Author affiliations

Department of Urology, University Vita e Salute, Scientific Institute Hospital San Raffaele, Milan, Italy

Related Articles for ""

Urol Int 2002;69:12–16

Do you have an account?

Login Information





Contact Information












By signing up for MyKarger you will automatically participate in our year-End raffle.
If you Then Do Not wish To participate, please uncheck the following box.

Yes, I wish To participate In the year-End raffle And Get the chance To win some Of our most interesting books, And other attractive prizes.


I have read the Karger Terms and Conditions and agree.



Login Information





Contact Information












By signing up for MyKarger you will automatically participate in our year-End raffle.
If you Then Do Not wish To participate, please uncheck the following box.

Yes, I wish To participate In the year-End raffle And Get the chance To win some Of our most interesting books, And other attractive prizes.


I have read the Karger Terms and Conditions and agree.



To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.
Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00


Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: July 08, 2002
Issue release date: July 2002

Number of Print Pages: 5
Number of Figures: 4
Number of Tables: 0

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: https://www.karger.com/UIN

Abstract

Introduction: To assess the impact on subjective symptoms and flow patterns of a new surgical technique designed to correct strictures of the female distal urethra and urethral meatus. Materials and Methods: Seventeen patients (mean age 41.2 years) with symptomatic strictures of either the distal urethra or the urethral meatus entered the study. Patients reporting an AUA score >20, a diagnosis of bladder outlet obstruction according to the Abrams-Griffiths nomogram and the Schaefer linPURR diagram, urethral calibration <20 F and radiologic evidence of the stricture, were considered eligible for surgery. A pedicled flap isolated from the vaginal vestibule was anastomosed with two longitudinal running sutures along the two edges of an opened urethra. Results: In all cases, diffuse fibrosis of the urethral wall was demonstrated at histological examination. Mean (± SE) preoperative and 12-month follow-up results were as follows: AUA score 25.2 ± 2.1 vs. 8.4 ± 1.2 (p < 0.0001); peak flow rate (ml/s) 13.2 ± 1.2 vs. 36 ± 1.5 (p < 0.0001); detrusor pressure at Qmax (cm H2O) 45 ± 5 vs. 17 ± 3; residual urine volume (ml) 120 ± 5 vs. 20 ± 5 (p < 0.0001). Fifteen patients (88%) showed an unobstructed Abrams-Griffiths nomogram and a Schaefer linPURR diagram postoperatively. All but 2 cases (88%) could be calibrated at 28 F postoperatively and showed a normal urethral lumen at voiding cystourethrography. Complications were never noted. Conclusions: Female patients with symptomatic strictures of the distal urethra or urethral meatus may be treated efficaciously and safely with vestibular flap urethroplasty. Although this technique must be performed under optical magnification it is easy to perform and is not associated with complications.

© 2002 S. Karger AG, Basel


References

  1. Lyon RP, Smith DR: Distal urethral stenosis. J Urol 1963;89:414–420.
  2. Lyon RP, Tanagho EA: Distal urethral stenosis in little girls. J Urol 1965;93:379–383.
  3. Griffiths DJ, Scholtmeijer RJ: Precise urodynamic assessment of anatomic urethral obstruction in boys. Neurourol Urodyn 1982;1:97–100.
  4. Brannan D: Stricture of the female urethra. J Urol 1951;66:242–246.
  5. Carr LK, Webster GD: Bladder outlet obstruction in women. Urol Clin North Am 1996;23:385–391.
  6. McGuire EJ, Letson W, Wang S: Transvaginal urethrolysis after obstructive urethral suspension procedures. J Urol 1989;142:1037–1038.
    External Resources
  7. Kelalis PP: Distal urethral stenosis. Mayo Clin Proc 1979;54:690–692.
  8. Griffiths DJ: Pressure-flow studies of micturition. Urol Clin N Am 1996;23:279–297.
  9. Frea B, Maurel A, Kocjancic E, Milocani ML, Meroni T: Radical surgical treatment for female voiding disorders. Urodinamica 1994;4:331–336.
  10. Griffiths DJ: Pressure-flow studies of micturition. Urol Clin N Am 1996;23:279–297.
  11. Virseda Chamorro M, Teba del Pino F, Salinas Casado J, et al: Pressure-flow studies in the diagnosis of micturition disorders in the female. Arch Espanoles Urol 1998;51:1021–1028.
  12. Massey JA, Abrams PH: Obstructed voiding in the female. Br J Urol 1988;61:36–39.
  13. Farrar D, Warwick RT: Outflow obstruction in the female. Urol Clin N Am 1979;6:217–225.
  14. Roberts M, Smith P: Non-malignant obstruction of the female urethra. Br J Urol 1968;40:694–702.
    External Resources
  15. Nitti VW, Raz S: Obstruction following anti-incontinence procedures: Diagnosis and treatment with transvaginal urethrolysis. J Urol 1994;152:93–98.
  16. Sullivan MP, Comiter CV, Yalla SV: Micturitional urethral pressure profilometry. Urol Clin N Am 1996;23:263–278.
  17. Chai TC, Belville WD, McGuire EJ, Nyquist L: Specificity of the American Urological Association voiding symptom index: Comparison of unselected and selected samples of both sexes. J Urol 1993;150:1710–1713.
  18. Chancellor MB, Rivas DA: American Urological Association symptom index for women with voiding symptoms: Lack of index specificity for benign prostatic hyperplasia. J Urol 1993;150:1706–1708.
  19. Webster G, Kreder KJ: Voiding dysfunction following cystourethropexy: Its evaluation and management. J Urol 1990;144:670–673.
  20. Foster HE, McGuire EJ: Management of urethral obstruction with transvaginal urethrolysis. J Urol 1993;150:1448–1451.
    External Resources
  21. Austin P, Spyropoulos E, Lotenfoe R, Helal M, Hoffman M, Lockhart JL: Urethral obstruction after anti-incontinence surgery in women: Evaluation, methodology and surgical results. Urology 1996;47:890–894.
  22. Carr LK, Webster GD: Voiding dysfunction following incontinence surgery: Diagnosis and treatment with retropubic or vaginal urethrolysis. J Urol 1997;157:821–823.
  23. Cross CA, Cespedes RD, English SF, McGuire EJ: Transvaginal urethrolysis for urethral obstruction after anti-incontinence surgery. J Urol 1998;159:1199–1201.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: July 08, 2002
Issue release date: July 2002

Number of Print Pages: 5
Number of Figures: 4
Number of Tables: 0

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: https://www.karger.com/UIN


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.