Use of pedicle flap from the labia minora for the repair of female urethral strictures

Abstract

Introduction: We present the method of pedicle labial urethroplasty for urethral reconstruction in female patients treated for urethral strictures.

Patients and methods: We performed urethral reconstruction using a pedicle labial flap in 2 female patients (23 and 70 years old) for urethral stricture (posttraumatic and postinflammatory origin). We used as a patch a pedicle skin flap obtained from the labia minora. The pedicle flap is slid beneath the vulvovaginal wall, until the urethra is reached.

Results: In both cases a normal micturition was obtained, and cystourethrography after 24 months showed a good urethral silhouette, without residual urine.

Conclusion: The pedicle labial urethroplasty seems to be a reliable technique for the repair of urethral strictures.