PMC6662501_01
Patulous urethra is clearly observed circumferentially surrounding the Foley catheter.
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fig1
Once in the operating room, the full defect of the urethra was appreciated (Figure 1).
The bladder neck closure is seen with both the interrupted and imbricating layer of 2-0 vicryl closed.
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fig2
An interrupted layer followed by imbricating layers of 2-0 vicryl was used (Figure 2).
The third layer of the bladder neck closure can be appreciated. The cadaveric pericardial tissue in place to prevent vesicovaginal fistula formation.
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fig3
A layer of cadaveric pericardial tissue (CPT) was incorporated in the bladder neck closure for enhanced support and to prevent the occurrence of fistula (Figures 3 and 4).
Final layer of bladder neck closure with the cadaveric pericardial tissue in place.
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fig4
A layer of cadaveric pericardial tissue (CPT) was incorporated in the bladder neck closure for enhanced support and to prevent the occurrence of fistula (Figures 3 and 4).