there are many techniques for uretero-ileal anastomosis some of them are antirefluxing for protection of the upper urinary tract with many complications including strictures and pyelonephritis with difficult technical issues and long operation time so a modified technique combining the 2 ureter by wallace technique and implanted them in a single trough in the neobladder making the surgery easier and shorter. this technique was done after informed consent in 45 patients with muscle invasive bladder cancer candidate for radical cystectomy and ileal neobladder diversion
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the rate of vesicoureteral reflux (VUR)
Timeframe: after 6 months and after one year
the incidence of anastomotic stricture
Timeframe: after 6 months and after one year
the post operative changes in the mean serum creatinine level
Timeframe: after 6 months and after one year