Urethroneovesical Anastomosis

The most dependent portion of the detubularized ileum is identified and brought down to the urethral stump. The mesentery is confirmed to be without kinks or undue tension. If addition length is needed, the mesenteric division can be carefully extended.

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.

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