Vaginal Graft Substitution Urethroplasty For Female Urethral Strictures: A Good Alternative To Lingual/Buccal Mucosal Graft

ABSTRACT

Post-menopausal sub meatal stenosis used to be common in elderly ladies, but urethral strictures were not so common. With more frequent urethral manipulations and indwelling catheterization incidence of stricture has increased. Lingual or buccal mucosal substitution urethroplasty has become standard treatment option for female urethral stricture with good long-term result. Acceptance of this procedure in female is guarded due to donor site morbidity.We used vaginal graft for substitution in 11 patients after thorough evaluation with follow-up ranging from 3 months to 2 years with satisfactory outcome and no donor site morbidity.