Figure 1 |
Pfannenstiel incision and longitudinal incision of rectus fascia |
Figure 2 |
Longitudinal bladder dome incision |
Figure 3 |
Bilateral fixation of the bladder wall at rectus fascia. Insertion and fixation of an ureteric stent. |
Figure 4 |
Circumferential incision of the ureteric orifice |
Figure 5 |
Distal ureterolysis; the preparation is made close to the ureter in the layer of the meso-ureter. |
Figure 6 |
Transvesical mobilization of the adherent peritoneum from the distal ureter using a Langenbeck retractor for better visualization |
Figure 7 |
Creation of a neo-hiatus |
Figure 8 |
After pereparation of a wide neo-hiatus, grasping of a free suture as a guide rail for the ureter |
Figure 9 |
Retraction of one suture end into the bladder and fixation with the stay suture of the ureteric orifice after stent removal |
Figure 10 |
Passage of the ureter through the neo-hiatus |
Figure 11 |
Transvesical transposition of the distal ureter. Submucosal tunnel preparation from the old to the new hiatus. |
Figure 12 |
Closure of the bladder wall defect using three sutures |
Figure 13 |
Submucosal transposition of the distal ureter |
Figure 14 |
Fixation of the orifice at initial position after resection of a dysplastic ureteric segment. Closure of the bladder mucosa over the reimplanted ureter. |
Figure 15 |
Wound closure. Drainage, ureteric stent and two cystostomies in place. |
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