Female Urethral Stricture

Abstract

Urethral stricture disease and urethroplasty in females have gained recent interest with newer urethroplasty techniques being described for various types of strictures. This chapter provides an insight into evaluation and management options for a woman with urethral stricture. Female urethral stricture remains a rare disease, and the clinical presentation overlaps with other functional causes of obstruction. The diagnosis is highly dependent on actual demonstration of a fibrotic ring on endoscopy. Results of minimally invasive options are dismal beyond one attempt. Many surgical reconstruction options are now available with good reported short-term outcomes. Given the anatomical and physiological differences between male and female urethra, female urethral stricture disease leaves a lot to be desired for improving our understanding of this disease.