Ureteroneovesical Anastomoses

Gentle traction on the ureteral holding sutures pulls the distal ureters into the operative field. The ureters are spatulated for approximately 1 cm. Bilateral ureteral 6-French single "J" stents are passed into the renal pelvis. The stents are exteriorized through the wall of the neobladder and then through one of the lateral 5-mm port sites. The ureters are sequentially implanted into the proximal portion of the ileal segment in a standard Bricker fashion. The apices are fixed to the bowel using three interrupted 4-0 poliglecaprone

FIGURE3 ■ (A) Completed posterior neobladder plate and suturing of urethro-neovesical anastomosis. (B) Anterior suture line and completed neobladder with drains.

FIGURE3 ■ (A) Completed posterior neobladder plate and suturing of urethro-neovesical anastomosis. (B) Anterior suture line and completed neobladder with drains.

FIGURE4 ■ Completed neobladder in the pelvis.

sutures. The remainder of the ureteral implantation is performed using a running 4-0 poliglecaprone suture (Figs. 3B and 4).

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