Placement of the first anastomotic sutures M. Fisch, Luis Alex Kluth, Katharina Körner-Riffard

Placement of the first Anastomotic Sutures at 5, 6 and 7 o`clock Position

• We use 4.0 monofilament absorbable sutures
• A J-curved needle grasps the proximal mucosal border. With a second needle holder the needle is grabbed and pushed into the bladder, rotated by 90° and pulled out.
• An extra long nose speculum helps to expose the mucosal border in the depth.
• With this technique the three sutures at the 6, 7 and 5 o`clock position are placed.
• Measuring the length of the stricture.