Urethral reconstruction in women

Jerry G. Blaivas, Adam J. Flisser

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations

Abstract

Disorders of the female urethra requiring reconstruction are rare. The most common conditions requiring reconstruction are urethrovaginal fistula, urethral diverticulum, stricture, damage from an indwelling catheter, and neoplasm. Surgical injury to the urethra is relatively rare, generally a complication of urethral diverticulectomy or incontinence surgery (1), and considerably less frequent than iatrogenic injury to the bladder or ureter. Urethrovaginal fistulae develop as a con- sequence of obstetrical trauma, surgical injury during vaginal and pelvic surgical procedures, erosion of synthetic materials placed near the urethra including synthetic pubovaginal slings and vaginal grafts (2,3), neoplasm, and radiotherapy (4). The diagnosis of urethrovaginal fistula is made by history and physical examination in the majority of cases, but in some instances, particularly when there is erosion of a synthetic pubovaginal sling, it is appreciated only at the time of cystoscopy.

Original languageEnglish
Title of host publicationFemale Urology, Urogynecology, and Voiding Dysfunction
PublisherCRC Press
Pages841-858
Number of pages18
ISBN (Electronic)9780849377891
ISBN (Print)9780824754266
DOIs
StatePublished - 1 Jan 2004
Externally publishedYes

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