Female Urethroplasty: A Practical Guide Emphasizing Diagnosis and Surgical Treatment of Female Urethral Stricture Disease

Figure 7

Lateral vaginal wall flap (“Orandi flap”). (a) = longitudinal midline incision at anterior vaginal wall; (b) = ventral stricturotomy; (c) = mobilization of the lateral vaginal wall flap; (d) = suturing the medial surface of the flap towards the ipsilateral side of the urethra; (e) = turning the mucosal surface of the flap towards the urethral lumen and suturing the lateral side of the flap to the contralateral side of the urethra.

(a)

(b)

(c)

(d)

(e)

(f)