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.
