Extravesical technique for ureteroneocystostomy.
(A) The distal ureter is freshened and spatulated for 1 cm. The detrusor muscle is incised for 1 to 2 cm on the posterolateral aspect of the bladder to expose the epithelium.
(B) The lateral aspect of the anastomosis is completed before incising the urothelium.
(C) The epithelium is incised and a stent introduced across the anastomosis.
(D) The ureteral anastomosis is completed and the serosa is closed over the ureter.
Reproduced with permission from: Wright EJ, Handa VL. Operative injuries to the ureter. In: Te Linde's Operative Gynecology, 11th ed, Jones III HW, Rock JA (Eds), Wolters Kluwer, Philadelphia 2015. Copyright © 2015 Wolters Kluwer.
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