To present a series of cases with our initial experience and short-term outcomes of a modified vaginal mucosal flap urethroplasty.
Patients diagnosed with urethral stricture and operated by the same operative technique between January 2012 and January 2018 were followed for at least 6 months. Uroflowmetry and clinical outcomes were evaluated.
Nineteen patients were included with an average age of 56.4 years, mean preoperative Qmax of 5.3 ml/s, and PVR of 101.4 mL. After 6 months of the procedure, the mean Qmax improved to 14.7 mL/s (p<0.05), PVR decreased to 47.3 mL (p<0.05), and 84.2% of all patients reported improvement in clinical self-reported symptoms. There was an improvement in symptoms such as voiding effort in 84.2% of patients, weak stream (89.5%), and recurrent urinary tract infection (85.7%). The success rate (absence of symptoms and normal Qmax with no significant PVR) of the procedure was 84.2%.
The described technique was considered effective for the treatment of female urethra stricture, with a high clinical success rate and an objective improvement of Qmax and decrease in PVR after 6 months of the procedure.
Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia. 2024 Mar 15*** epublish ***
João Vitor Quadra Vieira Dos Santos, Antônio Rebello Horta Görgen, Tiago Bortolini, Gabriel Veber Moisés da Silva, Emanuel Burck Dos Santos, Patric Machado Tavares, Nelson Silvonei da Silva Batezini, Tiago Elias Rosito
Hospital de Clínicas de Porto Alegr Porto AlegreRS Brazil Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.