Fly-casting method of intracorporeal laparoscopic knot tying

A simple technique for intracorporeal knot tying is discussed. Laparoscopic applications in urology initially began as simple diagnostic procedures to examine impalpable undescended testes and as an adjunct to help in management of intersex disorders. Subsequently, extirpative procedures have developed as technology has evolved and lymph node dissection, nephrectomy, and even assisted prostatectomy have been performed. As this experience increases it is only natural that reconstruction be the next step, and indeed case reports of ileal loop creation, pyeloplasty, and vesicoureteroplasty exist.