A new outlook in the management of complex female urethral injuries

Management of complex female urethral injuries is challenging. We present our experience of 9 cases over the last 3 years with a mean follow-up of 14 months. The spectrum of clinical problems and results of various forms of innovative management are highlighted. Injuries which could not be managed by primary repair or by applying regular urethroplasty principles of using local vaginal flaps were treated with core-through urethrotomy (2), creation of distal urethrovaginal fistula (5), and continent urinary diversion (2). Individualised treatment technique to fit the special circumstance as presented by each patient is stressed because of the rarity of female urethral injury.