Pars Fixa (PF) urethroplasty usually involves using labia minora tissue to lengthen the urethra from the native urethral meatus to the tip of the glans clitoris. For metoidioplasty and/or phalloplasty with urethral lengthening, being able to place a catheter without cystoscopic guidance or urologic assistance will help future care providers and patients. 

• Strategies to allow easy catheter placement:

  • De-epithelializing the periurethral fornices​

  • De-epithelializing minora tissue inferior to the labial minora flaps with subsequent coverage over the native urethra-to-proximal PF suture line

• Surgical Video demonstrating labia minora modified ring flap PF urethroplasty. (Warning: This video has actual footage of surgery and may be inappropriate for some viewers.)