1. Transpubic Access Using Pedicle Tubularized Labial Urethroplasty for the Treatment of Female Urethral Strictures Associated with Urethrovaginal Fistulas Secondary to Pelvic Fracture 
Yue-Min Xu, Ying-Long Sa, Qiang Fu, Jiong Zhang, Hong Xie, San-Bao Jin 
European Urology 
Volume 56, Issue 1, Pages (July 2009)
DOI: /j.eururo
Copyright © 2008 European Association of Urology Terms and Conditions

2. Fig. 1
(a) A severe pelvic fracture (arrow). (b,c) Cystourethrography demonstrated an urethrovaginal fistula in median urethra. (d) 5 mo postoperation, a patency of the urethra, retrograde urethrogram. (e) Voiding urethrogram.
European Urology  , DOI: ( /j.eururo )
Copyright © 2008 European Association of Urology Terms and Conditions

3. Fig. 2 A segment of pubic bone was removed with the Gigli saw.
European Urology  , DOI: ( /j.eururo )
Copyright © 2008 European Association of Urology Terms and Conditions

4. Fig. 3
(a) The urethral defect measured 3cm in length; arrows indicate the urethrovaginal fistula. (b) The urethrovaginal fistula was sutured.
European Urology  , DOI: ( /j.eururo )
Copyright © 2008 European Association of Urology Terms and Conditions

5. Fig. 4
(a) A flap of appropriate size and shape was mobilized on its vascular pedicle. (b) The flap was tubularized over a fenestrated silicone stent with continual 5-zero polyglactin sutures.
European Urology  , DOI: ( /j.eururo )
Copyright © 2008 European Association of Urology Terms and Conditions

6. Fig. 5
(a) The flaps were marked on the skin of the labia minora. (b) The flap was mobilized on its vascular pedicle. (c) Two flaps were pieced together with 5-zero polyglactin continual sutures. (d) The flap was tubularized with 5-zero polyglactin continual sutures.
European Urology  , DOI: ( /j.eururo )
Copyright © 2008 European Association of Urology Terms and Conditions

7. Fig. 6
An end-to-end anastomosis was performed between the normal urethra and neourethra, and the rectus muscle flap (arrow) was wrapped around the anastomosis.
European Urology  , DOI: ( /j.eururo )
Copyright © 2008 European Association of Urology Terms and Conditions