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Figure 1: Technique of ileocystoplasty and innervation preserving sphincteroplasty combined with anatomical bladder neck reconstruction repair in group B; (a) Triangular bladder mucosal patch (1) is marked and excised from verumontanum to midway of trigone on both sides leaving a midline mucosal strip (2) equal in width to that of urethral plate (3) at verumontanum. Periurethral muscle (4) at bladder neck and caudal to it external urethral sphincter (5) with intact innervation are seen on both sides of urethral plate (3),(b) Excision of triangular mucosal patch leaves behind denuded detrusor (6) on both sides. Tubularization of urethral plate and midline mucosal strip done to form neourethra(7). Clam cystoplasty of bladder plate (8) done for augmentation with detubularized and reconfigured ileal segment (9),(c) Ileocystoplasy completed (10), sutures are preplaced in detrusor muscle (6) and periurethral muscle (4) for simple midline approximation as single unit in two layers over neourethra for anatomical bladder neck reconstruction (11),(d) After bladder neck reconstruction, external urethral sphincter (5) with intact innervation is anchored over neourethra

Figure 1: Technique of ileocystoplasty and innervation preserving sphincteroplasty combined with anatomical bladder neck reconstruction repair in group B; (a) Triangular bladder mucosal patch (1) is marked and excised from verumontanum to midway of trigone on both sides leaving a midline mucosal strip (2) equal in width to that of urethral plate (3) at verumontanum. Periurethral muscle (4) at bladder neck and caudal to it external urethral sphincter (5) with intact innervation are seen on both sides of urethral plate (3),(b) Excision of triangular mucosal patch leaves behind denuded detrusor (6) on both sides. Tubularization of urethral plate and midline mucosal strip done to form neourethra(7). Clam cystoplasty of bladder plate (8) done for augmentation with detubularized and reconfigured ileal segment (9),(c) Ileocystoplasy completed (10), sutures are preplaced in detrusor muscle (6) and periurethral muscle (4) for simple midline approximation as single unit in two layers over neourethra for anatomical bladder neck reconstruction (11),(d) After bladder neck reconstruction, external urethral sphincter (5) with intact innervation is anchored over neourethra