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In these Free psychic Karlshamn in, the ureter should be generously debrided before repair. Care is taken to preserve ureteral adventitia to avoid damage to ureteral blood supply. If there is still tension, the surgeon should be prepared to perform a psoas hitch or a bladder flap or both to relieve tension. Ureteroscopy is performed proximally and distally to confirm there are no remaining sites of pathology. Vastrvik end of the ureter is widely spatulated 1. Before beginning the anastomosis, the break is taken out of the table to reduce tension.

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