Ureteroileal Anastomoses

Gentle traction on the ureteral holding sutures pulls the distal ureters into the operative field. The ureters are gently spatulated for approximately 1 cm. Bilateral ureteral 6-French single "J" stents are passed into the renal pelvis. The ureters are sequentially implanted into the proximal end of the ileal segment in a standard Bricker fashion. The apices are fixed to the bowel using three interrupted 4-0 poliglecaprone sutures. The remainder of the ureteral implantation is performed using a running 4-0 poliglecaprone suture. The proximal end of the ileal conduit is replaced into the abdominal cavity. The ureteral stents are exteriorized through the ileal segment.

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