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.
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: Are allowing urine to flow back into the ureters and kidneys—known as vesicoureteral reflux (VUR)Were damaged due to trauma or surgery
If you are having this procedure, the doctor will review a list of possible complications. These may include: Excess bleedingAdverse reaction to anesthesia, including, light-headedness, low blood pressure, and wheezingInfectionSoreness in throatNausea and vomitingBladder spasmsCrampingDifficulty urinatingFailure of the operation to correct the problemExcess scarring or narrowing in the ureter that can lead to kidney problems
Talk to the doctor about these risks before the procedure.
The doctor may need pictures of your urinary tract.Blood and urine tests may be done. These test will show how well the kidneys are working.
Talk to the doctor about any medications you are taking:
Do not take any new medications, herbs, or supplements without talking to the doctor.You may be asked to stop taking some medications up to 1 week before the procedure.Arrange for a ride home from the hospital.The night before surgery, you should eat a light meal. You should not eat or drink anything after midnight unless told otherwise by the doctor.
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.
An incision will be made in the abdomen. A series of incisions and stitches will be used to realign the ureter. The method chosen will be based on your specific condition. The incision in the abdomen will be closed with dissolvable stitches. A bandage will be placed over the incision.
A tube will be placed into the bladder. This will allow urine to drain while your bladder heals.
After the operation, you will be taken to the recovery room for observation.
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 2 to 4 days. You may need to stay longer if there are any complications.
You will receive fluids and medications through an IV.Urine will drain through the tube and into a bag. The urine may have blood in it for the first few days.After surgery, images will be taken to make sure the ureter is in the correct place.
When you return home, be sure to follow your doctor's instructions.
Call your doctor if any of these occur: Difficulty urinatingExcess bleedingSigns of infection, including fever and chillsPus or bad smelling fluids draining from the incision siteRedness or swelling at the incision siteUrine that smells badPain that cannot be controlled with the medications you have been givenNausea and/or vomiting that you cannot control with the medications you have been given
If you think you are having an emergency, call for emergency medical services right away.
Ureteral reimplant surgery FAQ. UCSF Benioff Children’s Hospital website. Available at:
http://www.ucsfbenioffchildrens.org/education/ureteral_reimplant_surgery/index.html. Accessed March 7, 2016.
Ureteral reimplant. Children’s Hospitals and Clinics of Minnesota website. Available at:
http://www.childrensmn.org/manuals/pfs/surg/018768.pdf. Updated October 2013. Accessed March 7, 2016.
Ureteral reimplantation surgery. Children’s Hospital of Pittsburgh website. Available at:
http://www.chp.edu/CHP/Ureteral+Reimplantation+Surgery. Accessed March 7, 2016.
Vesicoureteral reflux. EBSCO DynaMed website. Available at:
. Updated August 25, 2015. Accessed March 7, 2016.
Vesicoureteral reflux. National Kidney and Urologic Diseases Information Clearinghouse website. Available at:
http://kidney.niddk.nih.gov/kudiseases/pubs/vesicoureteralreflux. Updated June 2012. Accessed March 7, 2016.
Last reviewed March 2016 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.
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