Management of the Devastated Female Urethra

AbstractPurpose of ReviewCritical evaluation of literature published in last 5 years pertaining to management of the devastated urethra in female patients.Recent FindingsThe devastated female urethra is a debilitating heterogenous disease that can be extremely difficult to manage. The recent published literature has largely been retrospective in nature but has shown good long-term outcomes for multiple operative approaches.SummaryFemale patients with incontinence due to devastation of the urethra pose a challenge due to limited surgical options. To achieve dryness, all patients will require closure of the bladder outlet, whether a permanent surgical closure, a functional closure, or cystectomy. If urinary diversion is required, it can be accomplished either through placement of a suprapubic tube, creation of an ileovesicostomy, creation of a catheterizable channel (i.e., Mitrofanoff procedure), or complete diversion with an ileal conduit.
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research