 No skin suture was used in the urethral meatus, and some kind of scar contraction was always foreseen.Two sutures were bilaterally passed through the perianal skin and the levator ani muscles and served to tightly and firmly support an obstetric stent, placed in the neovagina to provide support for the inverted skin flap.A drain was left in the posterior commissure and, finally, excess scrotal skin was resected to obtain a good appearance of the major labia.