 When available, the foreskin was kept and the distal, coronal edge of the penile skin was closed; this yielded the skin tube that was inserted as neovaginal lining.On the lower abdominal skin, a slight skin slit was made to allow the future urethra to be passed through upon inversion of the neovaginal lining.A Foley catheter was inserted and the urethra was sutured onto the catheter, about 5 cm distally from its passage through the skin.