This edition we focus on the setting of urethrae. We try to make the long anterior urethral flap but in some patient who have a thick urethrae wall will get some problem of urethral swelling during early post operation peroid and the setting is uncontrollable. But if the flap is too thin it will be to friable to setand cause opening stricture. So we use the medial thick ness in the new edtion and fix the urethral flap to the anterior perineal wall. Most of urethral tissue lie on the perineum not the vagina wall.