Fig. 2

The dilatation process was initiated by lidocaine-containing jelly insertion (a), and was followed by the administration of rigid metallic Hegar sticks penetrating the external and the internal os of the urethra (b). Urethral length was assessed preoperatively with a vaginal ultrasound scan. The step-by-step dilatation was carried out until Ch39 (Hegar 13 mm – c)