全部或部分膀胱三角、膀胱颈及尿道缺如是少见而棘手的妇科和泌尿科手术并发症。治疗主要是重建足够长的新尿道以防尿液排入阴道,保证顺利排尿又无尿失禁。近65年来能达到这两个目标的一次性手术是膀胱皮片或阴道皮片修补术,但每一术式均有50％的术后尿失禁率。为取得更好的疗效,作者采用阴道皮片新尿道成形术及抗尿失禁术的联 All or part of the bladder trigone, bladder neck and urethra is a rare and intractable gynecological and urological complications. Treatment is mainly to rebuild a long enough new urethra to prevent the release of urine into the vagina, to ensure smooth urination without incontinence. One-off surgery that has achieved both goals over the past 65 years is bladder skin flap or vaginal skin flap repair, but each procedure has a 50% postoperative urinary incontinence rate. In order to obtain better curative effect, the author uses vaginal new urethroplasty and urinary incontinence