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Tapering technique. (A) Ureteric segment for trimming is identified, hitched to the abdominal wall and the incision line is marked. (B) Megaureter trimmed. Trim line to face bladder mucosa when laid within the detrusorotomy. (C) Tailoring performed with inverting PDS 5/0 sutures. (D) Double J stent placed percutaneously. Fashioning of the neo-ureterovesicostomy with PDS 5/0. (E) Detrusor wrap closed using PDS 5/0. PDS, polydioxanone suture.
