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Urinary Diversion Following Cystectomy

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1 Urinary Diversion Following Cystectomy
Udo Nagele, Karl-Dietrich Sievert, Axel S. Merseburger, Aristotelis G. Anastasiadis, Arnulf Stenzl  EAU Update Series  Volume 3, Issue 3, Pages (September 2005) DOI: /j.euus Copyright © 2005 Elsevier B.V. Terms and Conditions

2 Fig. 1 Anatomical specimen of a female pelvis outlining the arterial vascularization of the distal ureter. The arrow depicts a common iliac arterial branch which, apart from the vesical arteries, is the only other major supply of the distal ureter. EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

3 Fig. 2 The Herni-Kock intussusceptive ileal nipple.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

4 Fig. 3 Serosa-lined extramural tunnel implantation with tapered ileum.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

5 Fig. 4 Preparation of the ileal segment.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

6 Fig. 5 Wallace 66 ureteral anastomosis.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

7 Fig. 6 U-shaped isolated ileum segment with ileal trough.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

8 Fig. 7 Detubularised neobladder with afferent anastomosis, during cross-folding. EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

9 Fig. 8 Reconstructed neobladder with spout shaped afferent opening.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

10 Fig. 9 Neobladder in situ. EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

11 Fig. 10 Bladder replacement: postoperative management.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions

12 Fig. 11 Ureteroileorectosigmoidostomy.
EAU Update Series 2005 3, DOI: ( /j.euus ) Copyright © 2005 Elsevier B.V. Terms and Conditions


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