Trauspubic access using pedicle labial skin flap urethroplasty for the treatment of female urethral stric-tures associated with urethrovaginal fistulas
- VernacularTitle:经耻骨途径带蒂阴唇皮瓣治疗女性尿道狭窄合并尿道阴道瘘
- Author:
Yuemin XU
;
Yinglong SA
;
Qiang FU
;
Jiong ZHANG
;
Sanbao JIN
- Publication Type:Journal Article
- Keywords:
Female;
Urethral strictures;
Pedicle labial flaps;
Urethrovaginal fistula
- From:
Chinese Journal of Urology
2008;29(12):853-854
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of transpubie access using pedicle tabularized la-bial urethroplasty for urethral reconstruction in female patients with urethral strictures associated with urethrovaginal fistulas.Methods Eight cases of urethral strictures were treated using pedicle labial skin flaps for urethral reconstructions.All cases were the mid-urethral strictures associated with ure-throvaginal fistulas.A single face pedicle flap was obtained from the labia minus or majus in 5 women,and double face pedicle labial flaps were used in 3 patients.Results There were no serious complica-tions.Two patients complained of dysuria symptoms for 2 weeks and one patient experienced stress incontinence which resolved after 4 weeks.The patients were followed up for 6 to 130 months (mean 52) postoperatively.All patients had normal micturition following catheter removal with urinary peak flow greater than 15 ml/s(17.4-42.0 ml/s).Conclusion Pedicle labial urethroplasty might be a reliable technique for the management of complex urethral strictures associated with urethrovaginal fis-tulas.
