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Female urethral strictures and urethral diverticula are rare as individual entities and exceedingly rare in combination. To our knowledge, there has not been a report of the use of diverticulum sac tissue for simultaneous female urethral stricture repair. We present a novel procedure with an inverted U-shaped approach with urethral diverticulectomy, then we were able to use the urethral diverticula sac tissue for repair of the stricture. Ultimately, the procedure was successful and the patient is doing well at 10 months postoperatively.