Insertion of Penrose drain. The vesico-urethral anastomotic site is drained with a small Penrose drain that exits through another small incision, lateral to the skin incision. The wound is closed in multiple layers using absorbable sutures. The levator ani muscles and the rectum are repositioned as anatomically as possible. The skin is closed with subcuticular absorbable sutures.
Adequate dressing is applied.
The Foley catheter is securely taped and anchored to the thigh. Post operative care. Patients are usually sent back to a regular room following recovery. Patients are fed clear liquids as soon as they are awake and alert and able to tolerate this. The dressing is checked for urine drainage.