Female Urethroplasty with a Buccal Mucosa Graft using a Supraurethral Approach

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dc.authorid0000-0002-2960-9931
dc.authorid0000-0002-9946-1629
dc.contributor.authorKuo, Tricia
dc.contributor.authorUcar, Murat
dc.contributor.authorVenugopal, Suresh
dc.contributor.authorOsman, Nadir I.
dc.contributor.authorInman, Richard D.
dc.contributor.authorChapple, Christopher R.
dc.date.accessioned2026-01-24T12:30:52Z
dc.date.available2026-01-24T12:30:52Z
dc.date.issued2024
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractIntroduction and HypothesisIn the setting of recurrent female urethral stricture, urethroplasty offer the best chance of cure. However, which approach (dorsal or ventral) and which tissue (buccal mucosa, vaginal graft, vaginal flap) remain areas of controversy. In this article and accompanying video, we describe female urethroplasty with a supraurethral approach using a buccal mucosa graft.MethodsA stricture of 3 cm in length was observed in the mid urethra. A supraurethral semi-lunar incision was made and dissection was performed up to the stricture. A dorsal urethrotomy was performed and a 3 x 2 cm oral mucosal graft was harvested from the left cheek. The mucosal graft was anastomosed to both urethral edges with running sutures. The graft was fixed to the supraurethral tissue with quilting sutures. A urethral catheter and a suprapubic catheter were left in place for 3 weeks.ResultsFollowing removal of the catheters, the patient was able to void satisfactorily with no incontinence. No complications were observed in the urethral area or at the graft harvest site.ConclusionsBuccal mucosa graft urethroplasty with a supraurethral approach is a reliable method in the treatment of female urethral stricture.
dc.identifier.doi10.1007/s00192-024-05737-z
dc.identifier.endpage1095
dc.identifier.issn0937-3462
dc.identifier.issn1433-3023
dc.identifier.issue5
dc.identifier.pmid38324185
dc.identifier.scopus2-s2.0-85184416958
dc.identifier.scopusqualityQ2
dc.identifier.startpage1093
dc.identifier.urihttps://doi.org/10.1007/s00192-024-05737-z
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5497
dc.identifier.volume35
dc.identifier.wosWOS:001157138800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer London Ltd
dc.relation.ispartofInternational Urogynecology Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectAutografts
dc.subjectFemale urogenital diseases
dc.subjectMouth mucosa
dc.subjectUrethra
dc.subjectUrethral stricture
dc.subjectUrethroplasty
dc.titleFemale Urethroplasty with a Buccal Mucosa Graft using a Supraurethral Approach
dc.typeArticle

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