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Neo-vaginal advancement flaps in the treatment of urethral strictures in transwomen

Marjan Waterloos (UGent) , Stephanie Hollebosch (UGent) , Wesley Verla (UGent) , Anne-Françoise Spinoit (UGent) , Piet Hoebeke (UGent) , Stan Monstrey (UGent) and Nicolaas Lumen (UGent)
(2019) UROLOGY. 129. p.217-222
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Abstract
OBJECTIVES To explore the use of neo-vaginal advancement flaps in the treatment of distal urethral strictures with description of the techniques and preliminary results in transwomen. METHODS Five patients were treated. A 7-flap was used in 2 patients and an inverted U-flap in 3 patients. In 1 patient with an inverted U-flap, the urethra was further enlarged using buccal mucosa because of Lichen Sclerosus. Three out of 5 patients already underwent previous interventions. RESULTS Median patient age was 67 years (range: 41-74) and median stricture length was 2.0 cm (range: 1.5-2.0). Median operation time was 41 minutes (range: 38-70). One low-grade complication (bladder spasms) was reported. No patient suffered a recurrence after a median follow-up of 37 months (range: 6-97). All patients were satisfied with the result. CONCLUSION Neo-vaginal advancement flaps can be safely used in transwomen with distal urethral strictures. The success rate and patient's satisfaction are encouraging. (C) 2019 Elsevier Inc.
Keywords
REASSIGNMENT SURGERY, FEMALE, URETHROPLASTY, STENOSIS, IMPACT

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Chicago
Waterloos, Marjan, Stephanie Hollebosch, Wesley Verla, Anne-Françoise Spinoit, Piet Hoebeke, Stan Monstrey, and Nicolaas Lumen. 2019. “Neo-vaginal Advancement Flaps in the Treatment of Urethral Strictures in Transwomen.” Urology 129: 217–222.
APA
Waterloos, Marjan, Hollebosch, S., Verla, W., Spinoit, A.-F., Hoebeke, P., Monstrey, S., & Lumen, N. (2019). Neo-vaginal advancement flaps in the treatment of urethral strictures in transwomen. UROLOGY, 129, 217–222.
Vancouver
1.
Waterloos M, Hollebosch S, Verla W, Spinoit A-F, Hoebeke P, Monstrey S, et al. Neo-vaginal advancement flaps in the treatment of urethral strictures in transwomen. UROLOGY. 2019;129:217–22.
MLA
Waterloos, Marjan et al. “Neo-vaginal Advancement Flaps in the Treatment of Urethral Strictures in Transwomen.” UROLOGY 129 (2019): 217–222. Print.
@article{8610434,
  abstract     = {OBJECTIVES To explore the use of neo-vaginal advancement flaps in the treatment of distal urethral strictures with description of the techniques and preliminary results in transwomen.
METHODS Five patients were treated. A 7-flap was used in 2 patients and an inverted U-flap in 3 patients. In 1 patient with an inverted U-flap, the urethra was further enlarged using buccal mucosa because of Lichen Sclerosus. Three out of 5 patients already underwent previous interventions.
RESULTS Median patient age was 67 years (range: 41-74) and median stricture length was 2.0 cm (range: 1.5-2.0). Median operation time was 41 minutes (range: 38-70). One low-grade complication (bladder spasms) was reported. No patient suffered a recurrence after a median follow-up of 37 months (range: 6-97). All patients were satisfied with the result.
CONCLUSION Neo-vaginal advancement flaps can be safely used in transwomen with distal urethral strictures. The success rate and patient's satisfaction are encouraging. (C) 2019 Elsevier Inc.},
  author       = {Waterloos, Marjan and Hollebosch, Stephanie and Verla, Wesley and Spinoit, Anne-Françoise and Hoebeke, Piet and Monstrey, Stan and Lumen, Nicolaas},
  issn         = {0090-4295},
  journal      = {UROLOGY},
  keywords     = {REASSIGNMENT SURGERY,FEMALE,URETHROPLASTY,STENOSIS,IMPACT},
  language     = {eng},
  pages        = {217--222},
  title        = {Neo-vaginal advancement flaps in the treatment of urethral strictures in transwomen},
  url          = {http://dx.doi.org/10.1016/j.urology.2019.02.003},
  volume       = {129},
  year         = {2019},
}

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