Female urethral stricture is a rare, but often underrecognized, cause of voiding dysfunction in females.<sup>1Petrou SP, Rogers AE, Parker AS, Green KM, McRoberts JW Dorsal vaginal graft urethroplasty for female urethral stricture disease BJU Int 2012 ;  110 : E1090-E109510.1111/j.1464-410X.2012.11233.x

Cliquez ici pour aller à la section Références</sup> Vaginal free graft urethroplasty has been shown to have good efficacy and durability in treating urethral stricture, though accessible descriptions of technique are not widely available.<sup>1Petrou SP, Rogers AE, Parker AS, Green KM, McRoberts JW Dorsal vaginal graft urethroplasty for female urethral stricture disease BJU Int 2012 ;  110 : E1090-E109510.1111/j.1464-410X.2012.11233.x

Cliquez ici pour aller à la section Références,2Tsivian A, Sidi AA Dorsal graft urethroplasty for female urethral stricture J Urol 2006 ;  176 : 611-61310.1016/j.juro.2006.03.055 [cross-ref]

Cliquez ici pour aller à la section Références</sup> Accordingly, we set out to describe and demonstrate our technique for vaginal mucosal free graft dorsal onlay urethroplasty.

A fifty-one year old female with long-standing history of voiding dysfunction and incomplete emptying presented to our urology clinic, and was diagnosed with urethral stricture. Following evaluation to ensure adequate vaginal mucosal tissue, treatment with vaginal graft urethroplasty was offered. Tenets for success in performing vaginal free graft urethroplasty include adequate dorsal urethral dissection and mobilization, incision of entire length of stricture, removal of underlying fibromuscular tissue from graft, and tension-free anastomosis of graft to urethra. Appropriate selection of vaginal graft harvest site is key to avoid excessive narrowing of the vagina.

In this patient, vaginal free graft urethroplasty provided a successful and durable treatment of her urethral stricture. Vaginal free graft urethroplasty is an approachable and reproducible technique for treating urethral stricture in a female, while avoiding the morbidity associated with buccal graft harvest.

This video provides a step-by-step description of technique for performing vaginal free graft dorsal onlay urethroplasty to treat urethral stricture in a female.