Urethroplasty for Female Urethral Stricture during the COVID-19 Pandemic: A Challenging Clinical Experience
Published: 2023-09-14
Page: 104-107
Issue: 2023 - Volume 6 [Issue 1]
Sunayana Chatterjee *
Bharati Vidyapeeth Medical College and Research Centre, Pune, Maharashtra 411043, India.
Devendra Kumar Jain
Bharati Vidyapeeth Medical College and Research Centre, Pune, Maharashtra 411043, India.
Rishabh Mehta
Bharati Vidyapeeth Medical College and Research Centre, Pune, Maharashtra 411043, India.
*Author to whom correspondence should be addressed.
Abstract
Amidst the COVID-19 pandemic, managing female urethral strictures posed distinct challenges. Scar tissue development within the urethral sub-epithelial tissue led to constriction, causing lower urinary tract symptoms. Traditionally, urethral dilation was employed, but high recurrence rates prompted a shift towards formal urethroplasty. We observed 36 patients during this pandemic, gathering data on stricture management. Those with Q max >10 ml/sec underwent conservative measures; Q max <10 ml/sec cases received urethroplasty with vaginal mucosal grafts. The pandemic's impact on healthcare necessitated cautious surgical planning, while strict protocols ensured patient and staff safety. Prompt intervention remains vital for improved outcomes in female urethral stricture cases.
Keywords: Urethral stricture, COVID-19, urethroplasty, personal protective equipment, micturating cysto-urethrogram
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References
Mundy AR, Andrich DE. Urethral strictures. BJU Int. 2011;107(1):6–26.
Chavda VP, Yao Q, Vora LK, Apostolopoulos V, Patel CA, Bezbaruah R et al. Fast-track development of vaccines for SARS-CoV-2: The shots that saved the world. Front Immunol [Internet]. 2022;13.
Available:https://www.frontiersin.org/articles/10.3389/fimmu.2022.961198
[Accessed on 2023 Aug 27].
Alkathlan MS, Alsuyufi YA, Alresheedi AF, Khalil R, Sheiq PA, Alotaieq SS, et al. Healthcare adjustments and concerns: A qualitative study exploring the perspectives of healthcare providers and administrative staff during the COVID-19 pandemic in Saudi Arabia. Front Public Health [Internet]. 2023;11.
Available:https://www.frontiersin.org/articles/10.3389/fpubh.2023.961060
[Accessed on 2023 Aug 27]
Impact of Covid-19 on access to paediatric surgery in Teso sub-region, Eastern Uganda- Abstract - Europe PMC [Internet]. Available:https://europepmc.org/article/ppr/ppr594467 [Accessed on 2023 Aug 27].
Cubas ALV, Moecke EHS, Provin AP, Dutra ARA, Machado MM, Gouveia IC. The impacts of plastic waste from personal protective equipment used during the COVID-19 Pandemic. Polymers. 2023; 15(15):3151.
‘You learn to smile with your eyes’, exploring the impact of enhanced personal protective equipment on primary care dental practitioners in the UK: An interpretative phenomenological study - Legge - Community Dentistry and Oral Epidemiology - Wiley Online Library [Internet]. Available:https://onlinelibrary.wiley.com/doi/full/10.1111/cdoe.12898
[Accessed on 2023 Aug 27].
Respected but stigmatized: Healthcare workers caring for COVID-19 patients | PLOS ONE [Internet].
Available:https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288609
[Accessed on 2023 Aug 27].
Singh M, Kapoor R, Kapoor D, Kapoor R, Srivastav A, Chipde S. Dorsal onlay vaginal graft urethroplasty for female urethral stricture. Indian J Urol IJU J Urol Soc India. 2013;29(2): 124–8.
Navarro-Galmes MA, Hernandez-Hernandez D, Padilla-Fernandez B, Castro-Diaz DM. Female urethroplasty: Anterior vaginal wall flap (Blandy Flap) - simpler tends to be better. Urol Int. 2022; 106(3):313–6.
Kore RN, Martins FE. Dorsal onlay urethroplasty using buccal mucosal graft and vaginal wall graft for female urethral stricture – Outcome of two-institution study. Indian J Urol IJU J Urol Soc India. 2022;38(2):140–5.