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

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.