Ureteral Reimplantation
Introduction
Surgeons perform ureteral reimplantation to correct abnormally positioned or functioning ureters that carry urine from the kidneys to the bladder. Medical professionals mainly use this procedure for vesicoureteral reflux (VUR) and other complications affecting the ureters. It most effectively restores the normal flow of urine, which helps avoid further complications such as recurrent urinary tract infections and additional kidney damage.
What is Ureteral Reimplantation?
Ureteral Reimplantation is a procedure that involves the repositioning of the ureters to prevent urine from flowing back into the kidneys. This backward flow is called vesicoureteral reflux (VUR), which can cause infections in the kidneys and permanent damage. The surgery is usually performed on children, but adults may also need it for certain conditions.
Why is Ureteral Reimplantation Needed?
This surgery is advised in the following conditions:
- Recurrent urinary tract infections (UTIs) that do not respond to medication
- High-grade vesicoureteral reflux (VUR)
- Ureteral obstruction or stricture
- Chronic urine backflow-related kidney damage
Types of Ureteral Reimplantation
- Open
- Traditional surgery with a small incision in the lower abdomen.
- High success rate with long-term results.
- Laparoscopic
- A minimally invasive technique with small incisions and camera assistance.
- Shorter recovery and less pain as compared to open surgery.
- Robotic-Assisted
- The advanced laparoscopic surgery with robotic precision.
- Better visualization and enhanced accuracy.
Procedure Steps
- Preoperative Evaluation: Diagnostic tests include ultrasound, VCUG (voiding cystourethrogram), and blood tests.
- Anesthesia: General anesthesia is given.
- Surgical Reimplantation: The surgeon makes an incision and positions the ureter in the bladder wall to avoid backflow.
- Closure and Recovery: The incision is closed, and a temporary catheter may be put in place for urine drainage.
Benefits of Ureteral Reimplantation
- Avoids kidney infections and damage
- Reduces recurrent UTIs
- Improves general kidney function
- Long-term cure with a very high success rate
Cost of Ureteral Reimplantation
| Country | Average Cost (USD) |
| India | $2,500 – $4,000 |
| USA | $20,000 – $30,000 |
| Singapore | $15,000 – $20,000 |
| UK | $10,000 – $15,000 |
Best Hospitals in India for Ureteral Reimplantation
The following are the best hospitals in India to provide the surgery of Vesicoureteral reflux correction.
- Metro Hospital, Faridabad
- Fortis Escorts Hospital, New Delhi
- Apollo Hospitals, Chennai
- Manipal Hospital, Bangalore
- Max Super Speciality Hospital, New Delhi
Complications of the Ureteral Reimplantation
Just like every surgery Ureteral Reimplantation involves many complications:
- Heavy Bleeding
- Infection
- Urinary leak
- Blockage of Ureters
- The urge of spasms from the Bladder
All kinds of issues are associated with anesthetic effects.
Recovery
Recovery from Vesicoureteral reflux correction usually takes 2 to 4 weeks. One should expect the following in general:
- Hospital Stay: Usually 2 to 3 days after the procedure.
- Pain Management: Mild pain and discomfort can be managed with medication.
- Activity Restrictions: A person should abstain from heavy exercises for a minimum period of 4 weeks.
- Follow-up Care: Regular follow-ups with imaging tests to monitor healing and ensure proper ureteral function.
Conclusion
Ureteral repositioning is a very effective treatment for ureteral problems, especially vesicoureteral reflux. Most patients achieve excellent long-term results with proper care and follow-up. The best outcomes are ensured by consulting an experienced urologist and selecting a reliable hospital.
