The everting suture: A new technical aid for ureteral nipple construction.
OBJECTIVE
A new technique using an everting suture to construct a ureteral nipple is described.


METHODS
The method was used to create 28 ureteral nipples. A 2-zero silk suture is passed through the ureteral wall, transfixing the lumen, and is tied 5 cm. away from the ureteral wall. The ends are cut 10 cm. long. The suture is grasped within the ureteral lumen and with traction the ureter is everted in 1 step without trauma.


RESULTS
The suture in smooth 1-step atraumatic eversion of the ureter in all cases.


CONCLUSIONS
With this technique a well formed nipple of the desired length can be constructed.
Atta
M A
MA
Department of Urology, Alexandria School of Medicine, Alexandria, Egypt.
D006801:Humans; D013536:Suture Techniques; D014513:Ureter / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000517:prevention & control