Summary

■ Various minimally invasive methods in the treatment of the distal ureter and bladder cuff during laparoscopic nephroureterectomy have been described.

■ Although each one of the techniques has its advantages, they all present with their own shortcomings.

■ The most important issue for the management of the distal bladder cuff is its oncologic efficacy.

■ Longer follow-up with larger series of patients is needed to assure their oncologic efficacy. Until then, the open approach to the management of the distal ureter and bladder cuff following a laparoscopic nephrectomy remains the standard of care.

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