Transgender surgery FtM: Creation of pars fixa (fixed portion of urethra) during urethroplasty

Construction of the fixed part of the urethra.
(A) Tubularization of the vestibular mucosal plate between the external orifice of the native urethra and the clitoral glans without the use of flaps of vaginal mucosa or labia minora. The clitoris and the fixed part of the urethra are released from the vulvar region, transposed to the prepubic area, and fixed at this location.
(B) The anastomosis with the phallic part will take place at this site.