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Ureteral Reimplantation: Preparation, Procedure, Recovery and Risks

  • Posted on- Feb 27, 2017
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Ureteral Reimplantation is a surgical procedure to repair the tubes that connects the bladder to the kidneys. Ureteral Reimplantation surgery is performed to stop the flow of urine back into the kidneys. The ureters are the tubes that transfer liquid body waste from the kidneys to the bladder. When there is a defect in the ureters the flow of urine from the kidneys to the bladder gets affected, resulting in the reverse flow of urine into the kidneys, this condition is known as vesicoureteral reflux (VUR). If this condition, is left untreated the risks of developing a urinary tract infection (UTI) increases and cause severe damage to the kidneys. Ureteral reimplantation changes the location of one or both the ureters, so that urine flows out of the patient’s body instead of coming back to the kidneys.

Preparing for Ureteral Reimplantation

Before undergoing Ureteral Reimplantation surgery, carefully follow the instructions given by your surgeon. The patient of Ureteral Reimplantation surgery has to give up smoking and alcohol at least one month before the surgery. Tobacco consumption may slow down the healing process.

Tell the doctor about any medicine you have been taking or any other medical procedure you have ever undergone. A doctor may order a blood test to check if a patient is allergic to any medicine or anaesthesia. A patient undergoing Ureteral Reimplantation should not eat or drink anything before two hours of surgery.

Ureteral Reimplantation Procedure

The patient undergoing ureteral reimplantation is given general anesthesia to subside the pain during the surgery. An intravenous line is placed in a vein in the patient’s arm or hand. This intravenous line supplies fluids and medicines to the patient’s body. A thin and flexible tube known as a catheter is placed to drain urine.

A cut is made in the patient’s lower abdomen. The end of the ureter and the muscles around it are moved from the bladder. Then a tunnel is created to reimplant the ureter in the new location in the bladder. After placing the ureter to a new location, an incision is closed with sutures or surgical tape. A drain tube is placed to drain the fluid after the surgery.

ureteral reimplantation surgery takes about 2 to 3 hours and the patient will stay in the hospital for two days.

Recovery after Ureteral Reimplantation

A patient should follow the below listed steps for the rapid recovery after the Ureteral Reimplantation surgery.

  • A patient should take medicines as directed by the doctor.
  • Avoid bathing for a few days.
  • A patient can use an ointment with the dressing.
  • Avoid any regressive physical activity.
  • Avoid smoking and alcohol consumption.

Risks and Complications of Ureteral Reimplantation

Consult a doctor if any of the below listed symptoms occurs after the Ureteral Reimplantation.

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