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Figure 7. Anterior neobladder closure A.
Figure 8. Anterior neobladder closure B.
Figure 9. Anterior neobladder closure C.
ureters are then lifted vertically adjacent to each other, and the posterior plate of the Wallace anastomosis is
done with an absorbable 4-0 monofilament suture [Figures 11-14]. A nephrostomy puncture needle is
passed through the suprapubic area in the midline of the abdomen, through which both stents are passed
[Figure 10]. Each one is then pulled through the opening in the anterior wall of the neobladder by the fourth
arm, out through the ileal chimney, and inserted down each ureter. In keeping with the Wallace approach,
the ureters are then anastomosed circumferentially with the open ileal chimney again using 4-0 absorbable
monofilament suture, and the residual opening in the anterior wall of the neobladder is closed around the
