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Volume 73, Issue 1, Pages (January 2018)

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Presentation on theme: "Volume 73, Issue 1, Pages (January 2018)"— Presentation transcript:

1 Volume 73, Issue 1, Pages 123-128 (January 2018)
Lateral-based Anterior Vaginal Wall Flap in the Treatment of Female Urethral Stricture: Efficacy and Safety  Jesús Romero-Maroto, Lidia Verdú-Verdú, Luis Gómez-Pérez, Carla Pérez-Tomás, Juan-José Pacheco-Bru, Ana López-López  European Urology  Volume 73, Issue 1, Pages (January 2018) DOI: /j.eururo Copyright © 2016 European Association of Urology Terms and Conditions

2 Fig. 1 Surgical procedure. A: Midline anterior vaginal wall incisión. B: After mobilization of anterior vaginal wall, the urethra is incised ventrally from the meatus to the point where the stricture is completely open. C: A rectangular-shaped piece of vaginal wall is then selected and the outer external flap border is mobilized with a wide vascular pedicle. D: The vaginal flap is sutured to the margins of the urethrotomy defect. The inner vaginal flap edge to the closer urethral margin. E: The outer vaginal flap edge is turned around and sutured to the contralateral edge. F: The vaginal mucosa has been approximated. European Urology  , DOI: ( /j.eururo ) Copyright © 2016 European Association of Urology Terms and Conditions

3 Fig. 2 Narrow urethral segment with a dilated proximal urethra and bladder neck during micturition. European Urology  , DOI: ( /j.eururo ) Copyright © 2016 European Association of Urology Terms and Conditions

4 Fig. 3 The whole urethra was strictured, reaching up to 1cm of the bladder neck and remaining so throughout the whole time of exploration. European Urology  , DOI: ( /j.eururo ) Copyright © 2016 European Association of Urology Terms and Conditions


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