Female hypospadias and urethral stricture disease in a circumcised postmenopausal African woman: Diagnosis and management - Abstract

Globally, both female hypospadias and female urethral stricture are uncommon conditions.

Female genital mutilation, on the other hand, is a common practice in the West African sub-region, with up to half of the female population circumcised. We report a case of female hypospadias with stricture in an elderly West African lady who had also been subjected to female genital mutilation during childhood. Urethral dilatation with long-term clean intermittent self-catheterization may suffice in these situations, with scarred vaginas avoiding the need for invasive, cumbersome, and difficult surgical reconstruction of the urethra.

KEYWORDS: Female hypospadias; female urethral stricture; female genital mutilation

CORRESPONDENCE: Jibril Oyekunle Bello, MD, Urology Division, Department of Surgery, University of Ilorin Teaching Hospital, Nigeria ( )

CITATION: UroToday Int J. 2013 February;6(1):art 10.

DOI: http://dx.doi.org/10.3834/uij.1944-5784.2013.02.10