Early urological complications after kidney transplantation: An overview

Figure 3 Leadbetter-Politano technique. A: A longitudinal bladder incision is performed to gain access to the interior of the bladder; B: A second cystotomy is done to introduce the neo-ureter in the bladder. Subsequently, an Overholt is inserted from the second cystotomy and tunnelled close to the bladder wall for about 3 cm; C: A new hiatus is created at the end of the tunnel; D: The neo-ureter is pulled through the mucosal tunnel and the new mucosal hiatus using a free suture as a guide rail; E: Closure of the second cystotomy and then sub-mucosal transposition of distal neo-ureter; F: Fixation of the neo-ureter orifice and closure of the bladder mucosa.