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.

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