Female urethral stricture reconstruction
Assessment-led treatment of female urethral narrowing, from meatal procedures and dilatation to dorsal or ventral augmentation.
Interactive 3D Interactive dorsal onlay buccal graft urethroplasty Open the 3D animation Teaching catalogue only. This coverage record is not a patient pathway or operative instruction.
Typical place in practice
An anatomically confirmed symptomatic narrowing after exclusion of functional obstruction and other causes of voiding difficulty.
Alternatives and neighbouring procedures
Observation, catheter-based management or repeat dilatation in selected patients after discussion of recurrence.
Same procedure family, explicit technique branches
These are variations of this canonical operation. Complication modules below identify whether they apply to all branches or only to named approaches.
Dilatation or limited urethrotomy
Temporarily enlarges the narrowed segment with limited tissue dissection.
Meatotomy or meatoplasty
Remodels an isolated meatal narrowing.
Dorsal augmentation urethroplasty
Augments the urethra away from the vaginal wall.
Ventral augmentation urethroplasty
Uses the urethrovaginal plane for substitution reconstruction.
High-level sequence
Coverage outline only; not a step-by-step technical guide.
- Confirm anatomical narrowing and continence status
- Select endoscopic, meatal or augmentation strategy
- Expose and open the stricture in the chosen plane
- Augment or remodel without compromising sphincter support
- Drain and reassess voiding and continence after healing
Every failure mode is its own module.
Timing and variation coverage are recorded for each module.
Bleeding or peri-urethral haematoma
The confined peri-urethral space can collect blood and impair wound healing.
Applies to: All variantsUrinary infection
Instrumentation and postoperative drainage can precede lower or systemic infection.
Applies to: All variantsRecurrent stricture
Recurrence is particularly relevant after endoluminal treatment but can follow any reconstruction.
Applies to: All variantsNew stress or urgency incontinence
Treatment near the sphincter and changes in outlet resistance can reveal or create leakage.
Applies to: All variantsUrethrovaginal fistula
Breakdown across the ventral repair can establish an abnormal connection to the vagina.
Applies to: Ventral augmentation urethroplastyGraft or flap failure
Ischaemia, infection or poor tissue contact can compromise substitution tissue.
Applies to: Dorsal augmentation urethroplasty · Ventral augmentation urethroplastySources for this module
Dilatation, DVIU, anastomotic, graft, flap, staged and perineal procedures.
Accessed 2026-08-03 · opens source European Association of Urology EAU Guidelines on Non-neurogenic Female LUTSFemale continence, bulking, sling, colposuspension and related procedures.
Accessed 2026-08-03 · opens source