Transverse advancement ureteral reimplantation: pull-through alternative in megaloureter

A modification of the transverse advancement ureteral reimplantation technique suitable for megaloureter operation is described. After dividing the ureter extravesically at or near the ureteral hiatus and after adequate mobilization or manipulation (tailoring), the ureter is pulled through into the bladder. A limited mucosal incision is then made and routine transverse advancement reimplantation is done. The technique is suitable for cases when extravesical exposure of the ureter is considered necessary and obviates the need for intravesical ureteral mobilization.