Foley YV Plasty

Foley Y-V Plasty can be used with the following:

■ Small or modestly enlarged renal pelvis

■ Absence of crossing vessel

■ High ureteral insertion

FIGURE5 ■ Laparoscopic Fenger pyeloplasty.

A Y-shaped incision is made, which traverses the narrowed segment of the ureteropelvic junction (Fig. 4A). The apex of the Y limb is advanced to the distal end of the incision (Fig. 4B). Stay sutures are placed at each end of the incision (Fig. 4C), and the gaps in the anastomosis are filled in with interrupted sutures (Fig. 4D). The end result of the suturing should be a "V" shaped closure (Fig. 4E).

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