Ureteroneocystostomy in gynecologic surgery

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.