(214) Female bmg Urethroplasty and 2nd Degree Vaginal Tear Repair

Abstract Introduction Pregnancy and childbirth bring biological, psychological, social changes which may influence women's health. Objective Second degree tears are the most common type of tear. A female urethral stricture is a less condition. Buccal mucosa graft (BMG) widely used tissue for repair. Methods We present 38-year old who suffered 9-year long history disease dyspareunia after two vaginal child births. The patient (pt) had injury 2nd tear in wall pelvic muscle. Despite repeated attempts dilations, obstructive complaints persisted. Additionally, lack sexual arousal painful intercourses, affected patient’s quality life. pt was treated with dorsal onlay urethroplasty using buccal graft, excision scar, floor muscle repair, repair opening surgery carried out suprameatal approach. semicircular incision performed urethra dissected from ventral aspect clitoris sharp blunt dissection up to proximal part stricture. Then, sagittal over BMG sutured dorsally edges quilted 4.0 polyglactin sutures. 16Fr Foley catheter left place weeks. we hydrodissection posterior wall, scar episiotomy tear, approximation levator ani muscle, Results Two weeks urinates without strain no post voiding residual urine. Uroflow 6 showed Qmax 28ml/sec easily passable 20Fr Nelaton catheter. Eight reported having normal life pain satisfaction Conclusions Female feasible give great functional aesthetical results Disclosure No