Vesicoscopic cranial ureteral repositioning and reimplantation (VCURe) with Cohen technique for ureteral orifice situated close to the bladder neck.

Vesicoscopic Cohen ureteral reimplantation is technically demanding but has good success. However, when the ureteral orifice is situated distally in close proximity to the bladder neck, there is little space for adequate submucous tunnel creation. In this tricky anatomical situation, we describe a technique of repositioning the ureteral hiatus cranially on the posterior bladder wall so that a good cross-trigonal tunnel can be created. This technique was employed by us successfully in 5 ureters with good success and no major complications. To our knowledge, this modified technique of vesicoscopic ureteral repositioning and cross-trigonal reimplantation has not been described before.