ABSTRACT
The diagnosis of urethral stricture usually requires a high index of suspicion. The driving factors for the treatment of female urethral stricture will often be based on the patient's degree of obstruction, bothersome symptoms, and emptying patterns. More commonly, stricture disease in women is seen following endoscopic or open urethral surgery, urethral dilatation, and pelvic radiation therapy for gynecological malignancies. It is important to recognize that other pathologies such as pelvic floor dysfunction or dysfunctional voiding may present similarly to a urethral stricture, but the treatments are profoundly different. Treatment of urethral strictures can be divided into four categories: conservative management, endoscopic management, urethroplasty and salvage procedures. Meatotomy can be performed to treat distal stenosis by simple ventral incision of the meatus and suturing the cut end of the meatus to the vaginal wall. However, in our experience, circumferential and distal urethrectomy and advancement meatoplasty work best for distal strictures and urethral prolapse.
