“…We believed that in fabrication of a neourethra, the digestive mucosa has unique merits as follows: (1) it is abundant and easily stretchable; (2) it is a wet epithelium, making its characteristics more histologically similar to the characteristics of urethral mucosa than skin 6,8 ; (3) it is smooth, hairless, and pliable; and (4) it has a dense subdermal plexus, rendering it more prone to obtain a blood supply from the graft site and thus to healing. 5–7 Apart from the substitute materials, we believe that the operative idea of urethral prefabrication also plays a significant role in the construction of a neourethra. According to our previously reported operation method in female-to-male transsexual patients, 9 we continued to use this effective 2-stage method of urethral prefabrication for phalloplasty in this case.…”