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Dorsal urethroplasty with buccal mucosa graft in a woman DOI: 10.29188/2222-8543-2025-18-3-129-133
- Ryvkin A. Yu. – Dr. Sci., Chief Physician of City Clinical Hospital No. 31, urologist, Honored Doctor of the Russian Federation, St. Petersburg, Russia, RSCI Author ID 424636
- Ochelenko V.A. – Dr. Sci., Professor of the Department of Urology North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia, Head of the Department of Urology City Clinical Hospital No. 31, Saint Petersburg, Russia; RSCI Author ID 720948, https://orcid.org/0000-0003-1908-6193
- Fadeev V. A. – Dr. Sci., Professor of the Department of Urology North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia; RSCI Author ID 658236, https://orcid.org/0009-0005-0509-037X
- Tikutskaya E. V. – postgraduate of the Department of Urology North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia; RSCI Author ID 1270672, https://orcid.org/0000-0001-8720-1371
- Telegin I.V. – urologist of the Department of Urology City Clinical Hospital No. 31, Saint Petersburg, Russia; RSCI Author ID 1255784, https://orcid.org/0009-0008-6922-3911
- Smirnov A.V. – urologist of the Department of Urology City Clinical Hospital No. 31, Saint Petersburg, Russia; RSCI Author ID 1098466, https://orcid.org/0009-0005-3112-502X
- Komyakov B.K. – Dr. Sci., Professor, North-Western State Medical University named after I.I. Mech- nikov, Ministry of Healthcare of the Russian Federation, Honored Doctor of the Russian Federation, St. Petersburg, Russia, RSCI Author ID 571741, https://orcid.org/0000-0002-8606-9791
95 Introduction. Urethral stricture in women is a rare pathological condition that has no specific symptoms and manifests as a variety of urinary disturbances, making diagnosis challenging. Timely detection of this pathological condition and selection of an appropriate treatment method are important to prevent the progression of urinary outflow obstruction and associated complications.
Aim: To demonstrate the diagnostic and surgical treatment features of a woman with urethral stricture.
Materials and Methods. A clinical case of treatment of iatrogenic urethral stricture in a woman is presented. The patient underwent urethroplasty with a buccal graft via a dorsal approach. The postoperative period was uneventful. Follow-up examinations were performed 3 and 6 months after surgery and demonstrated the effectiveness of the procedure. Maximum and average urinary flow rates were 26.2 and 15.5 ml/s, respectively, with a dome-shaped uroflowmetry curve. No signs of urethral stenosis were detected during voiding cystography.
Conclusion. Urethral stricture in women is a relatively rare form of bladder outlet obstruction. Treatment decisions should be based on the surgeon's experience, location, and extent of the stricture. A posterior approach is associated with a lower risk of developing a urethrovaginal fistula and is preferred for suburethral sling placement. This clinical case demonstrates the effectiveness of urethroplasty for female urethral stricture.
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