The Foley catheter was clamped after 200cc of sterile saline was instilled to distend the bladder (the patient was anuric). The muscular layer of bladder was opened a distance of 1cm on the dome to expose the submucosa. The mucosa was opened.
The ureter was anastomosed mucosa to mucosa using continuous absorbable 5-0 monifilament suture. The muscular layer of bladder was closed over the end of the ureter creating a tunnel.
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