Female Vaginal Flap Urethroplasty (Blandy)
The Blandy vaginal flap urethroplasty uses a U-shaped anterior vaginal wall flap advanced to reconstruct the ventral wall of the female urethra, providing locally vascularized tissue for augmentation without the need for a free graft. The technique exploits the rich vascularity of the anterior vaginal wall and is well-suited for female urethral strictures associated with prior pelvic surgery or radiation. Simultaneous transvaginal exposure facilitates both urethral reconstruction and correction of associated pelvic floor pathology.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Schwender CE, Ng L, McGuire E, Gormley EA. "Technique and results of urethroplasty for female stricture disease." J Urol. 2006;175(3 Pt 1):976–80. PMID: 16469596
- Blaivas JG, Santos JA, Tsui JF, Deibert CM, Rutman MP, Purohit RS, Weiss JP. "Management of urethral stricture in women." J Urol. 2012;188(5):1778–82. PMID: 22999685