Urethroneovesical Anastomoses

The anterior plate of the neobladder is partially closed using another running 2-0 polyglactin suture. Before completion of the anterior wall, both ileoureteral stents are delivered into the Studer limb and retrieved into the peritoneal cavity through two separate ileotomy incisions at the proposed site of ureteroneovesical anastomoses. The anterior enterotomy is left open at its inferior-most portion in order to create the ure-throneovesical anastomosis.

The most dependent portion of the ileal plate is delivered to the urethral stump. The anastomosis is started at the 6 o'clock position with two running 2-0 poligle-caprone sutures in a parachute fashion and extended to the 12 o'clock position on either side. The sutures are then tied to each other. Once the anastomosis is finished, a 22-French Foley catheter is placed (Fig. 3B)

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