The everting suture: A new technical aid for ureteral nipple construction

Purpose: A new technique using an everting suture to construct a ureteral nipple is described. Materials and Methods: The method was used to create 28 ureteral nipples. A 2-zero silk suture is passed through the ureteral wall, transfixing the lumen, and is tied 5 cm. away from the ureteral wall. The ends are cut 10 cm, long. The suture is grasped within the ureteral lumen and with traction the ureter is everted in 1 step without trauma. Results: The suture resulted in smooth 1-step atraumatic eversion of the ureter in all cases. Conclusions: With this technique a well formed nipple of the desired length can be constructed.