How long does ureteral reimplantation surgery take?

The surgery takes 2 to 3 hours. During surgery, the surgeon will: Detach the ureter from the bladder. Create a new tunnel between the bladder wall and muscle in a better position in the bladder.

What is the success rate with ureteral reimplantation surgery?

Regarding intravesical approach, Ledbetter-Politano and the Cohen technique have been considered the most popular techniques of ureteral reimplantation with successful rate in the range of 97–99% (3).

How is ureteral reimplantation done?

An incision is made in your child’s lower abdomen (belly), just above the pubic bone. The end of the ureter and some muscle near it are detached from the bladder. The doctor will decide where in the bladder to reimplant the ureter. A tunnel is then created for the ureter to be placed inside.

How much does ureteral reimplantation surgery cost?

The median hospital cost for RALUR was $9,128 versus $7,273 for open ureteral reimplantation, however, there was a considerable variability from the differential experience among centers expressed as complications, and the higher cost of RALUR was associated with a significantly higher rate of complications.

What happens if your ureter is cut?

An unrecognized or mismanaged ureteral injury can lead to significant complications, including urinoma, abscess, ureteral stricture, and potential loss of ipsilateral kidney or even death.

Can a ureter be replaced?

Ileal ureter replacement is a technically feasible surgery to be performed in any patient requiring ureteral reconstruction despite a normal contralateral kidney. As such, it is a better alternative than nephrectomy in cases of complex and multiple ureteral strictures.

What happens if your ureter is cut during surgery?

Hydronephrosis. If complete ligation of the ureter occurs, the urine from the ipsilateral kidney is prevented from draining into the bladder, leading to hydronephrosis and progressive deterioration of ipsilateral kidney function. These events may occur with or without symptoms.