Fig. 44.1
Cystogram showing contracted trabeculated bladder
Fig. 44.2
UDE showing poor compliance bladder
Fig. 44.3
Ports position
Fig. 44.4
Initial view of bladder
Fig. 44.5
Ileal loop about 20 cm from ileocaecal junction selected
Fig. 44.6
5 cm subumbilical midline incision made for extra corporeal bowel isolation
Fig. 44.7
15 cm ileal segment selected for augumentation (10 cm) and spiral Monti (5 cm)
Fig. 44.8
Creation of catheterisable channel –spiral Monti in progress
Fig. 44.10
Isolated ileal segment for augmentation detubularised
Fig. 44.9
Spiral Monti constructed
Fig. 44.11
Detubularised ileal segment and Yang Monti tube pushed back into abdomen
Fig. 44.12
Detubularised ileal segment and Yang-Monti tube lying tension free over bladder area
Fig. 44.13
Cystotomy in preparation for anastomosis of Monti tube
Fig. 44.14
Submucosal plane developed for tunnelling the catheterisable channel
Fig. 44.15
Bladder mucosa opened distally
Fig. 44.16
Anastomosis of Yang Monti tube to bladder started
