Endoscopic closure of the ureteral orifice M. Lezrek

Endoscopic closure of the ureteral orifice.  

Under general anaesthesia, the patient is placed in the lithotomy position. An Amplatz dilator and sheath of 26-F are placed in the bladder via urethra. Cystoscopy is performed using a 24 F nephroscope. The nephroscope is retrieved and a lengthened 3.5 mm pediatric laparoscopic needle-holder is placed through its working port. The needle holder grasps, by the middle, a conventional 13 mm-needle of an absorbable suture. The nephroscope is introduced in the bladder with the suture dragged alongside the nephroscope. The ureteral orifice is closed with a figure of eight suture.