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Laparoscopic ureteral reimplantation is surgery to reposition a ureter. The ureter is a tube between the kidney and the bladder. It allows urine to pass down to the bladder.
Laparoscopic procedures use small incisions and specialized tools. This helps to avoid large incisions that are needed with open surgery.
The Urinary Tract
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Some ureters are not positioned correctly in the bladder. This can make it difficult for urine to flow into the bladder. Ureteral reimplantation may be done to reposition ureters that:
If you are having this procedure, the doctor will review a list of possible complications. Possible complications with any surgery include:
Possible complications due to ureteral reimplantation include:
Talk to the doctor about these risks before the procedure.
General anesthesia may be used. It will be given through a vein in the arm or hand. You will be asleep through the procedure.
A spinal block may be used. This is an anesthesia injected into the spine. It will block pain below your waist.
A few small incisions will be made in your abdomen. Specialized tools will be inserted through the incisions. A series of incisions and stitches will be used to realign the ureter. The doctor will choose a method based on your specific condition.
Once the tools are removed the incisions in the abdomen will be closed with stitches. Bandages may be placed over the incisions.
After the operation, you will be taken to the recovery room for observation. If all is well, the breathing tube will likely be removed.
Two to three hours
Anesthesia prevents pain during surgery. There may be some pain as you recover. You may also have some cramping in your bladder. The doctor will give you medication to help manage any discomfort.
The usual length of stay is two days. You may need to stay longer if there are complications.
When you return home, take these steps:
Be sure to follow the doctor’s instructions.
Call your doctor if any of these occur:
If you think you are having an emergency, call for medical help right away.
American Academy of Pediatrics
American Urological Association
National Kidney and Urologic Diseases Information Clearinghouse
Canadian Paediatric Society
Canadian Urological Association
Ureteral reimplant surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: http://www.ucsfbenioffchildrens.org/education/ureteral_reimplant_surgery/index.html. Accessed January 17, 2013.
Ureteral reimplant. Children’s Hospitals and Clinics of Minnesota website. Available at: http://www.childrensmn.org/manuals/pfs/surg/018768.pdf. Accessed January 17, 2013.
Ureteral reimplantation. Children’s Hospital of Wisconsin website. Available at: http://www.chw.org/display/PPF/DocID/48560/router.asp. Accessed January 17, 2013.
Ureteral reimplantation surgery. Children’s Hospital of Pittsburgh website. Available at: http://www.chp.edu/CHP/Ureteral+Reimplantation+Surgery. Accessed January 17, 2013.
Vesicoureteral reflux. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 26, 2012. Accessed January 17, 2013.
Vesicoureteral reflux. National Kidney and Urologic Diseases Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/vesicoureteralreflux/#how. Updated June 29, 2012. Accessed January 17, 2013.
Last reviewed March 2014 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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