Fig. 39.1
Cystometrogram showing poor compliance bladder
Fig 39.2
Cystoscopy showing trabeculated bladder (of 10 year old boy post PUV fulguration at 1 yr age)
Fig. 39.3
CT scan showing small capacity irregular bladder, grossly dilated right ureter (non functioning kidney)
Fig 39.4
Ports position
Fig. 39.5
Initial view of the distended bladder
Fig. 39.6
Right ureter dissected till UPJ (subsequently nephrectomy done)
Fig. 39.7
Ureter divided near UPJ
Fig. 39.8
Ureter detubularised on medial aspect
Fig. 39.9
Ureter broadened by folding in u configuration
Fig. 39.10
Ureteric flap being reconfigured using 3-0 vicryl
Fig. 39.11
Ureter completely refashioned
Fig. 39.12
Cystotomy in progress
Fig. 39.13
Transverse cystotomy done
Fig. 39.14
Ureterovesical anastomosis started in one corner (near right UVJ)
Fig. 39.15
SPC inserted after completing posterior layer
Fig. 39.16
Posterior layer suturing with 3-0 vicryl in continuous fashion
Fig. 39.17
Anterior layer suturing in progress
Fig. 39.18
Uretero cystoplasty completed
39.7 Side to Side In-Situ Ureterocystoplasty
Fig. 39.19
MCU showing small capacity bladder and left VUR (neurogenic bladder)
Fig. 39.20
Cystometry showing poorly compliant bladder in a 4 years old child
Fig. 39.21
External view of ports position
Fig. 39.22
Laparoscopic view of small capacity bladder and bilateral grossly dilated ureters. Left ureter was selected as there was reflux and more dilated, U ureter
Fig. 39.23
Incision of peritoneum over left lower ureter
