The7th Edition

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.