Vesicoscopic Ureteral Reimplantation: A Minimally Invasive Technique for the Definitive Repair of Vesicoureteral Reflux
Figure 4
(a) Initial dissection with
hook electrode at low-power setting. (b) Investing detrusor bands
divided using sharp dissection. (c) Ureter has been
mobilized such that it can reach the contralateral side with no tension. (d) View after bilateral
mobilization and closure of the posterior detrusor openings. Ureters have been
pushed back out of bladder to permit visualization of the bladder
mucosa-detrusor plane to permit creation of the submucosal tunnels.