Female Dorsal Onlay Urethroplasty
Female dorsal onlay urethroplasty uses a buccal mucosal graft placed on the dorsal surface of the urethra to augment a strictured female urethra via a transvaginal approach. The graft is sutured to the periurethral fascia and held against the pubic periosteum for vascular support. Small series demonstrate good outcomes with acceptable donor-site morbidity, positioning this technique as a preferred option for female urethral stricture disease.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Sharma GK, Pandey A, Bansal H, Swain S, Das SK, Trivedi S, Dwivedi US, Singh PB. "Dorsal onlay lingual mucosal graft urethroplasty for urethral strictures in women." BJU Int. 2010;105(9):1309–12. PMID: 19912201
- Osman NI, Mangera A, Chapple CR. "A systematic review of surgical techniques used in the treatment of female urethral stricture." Eur Urol. 2013;64(6):965–73. PMID: 23954174