Laparoscopic Ureteral Reimplantation
(Laparoscopic Ureterectomy with Reimplantation)
|The Urinary Tract|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Are causing urine to flow back into the ureters and kidneys—known as vesicoureteral reflux (VUR)
- Were damaged due to trauma or surgery
- Excess bleeding
- Adverse reaction to anesthesia, including, light-headedness, low blood pressure, and wheezing
- Soreness in throat
- Nausea and vomiting
- Bladder spasms
- Difficulty urinating
What to Expect
Prior to Procedure
- The doctor may need pictures of your urinary tract.
- Blood and urine tests may be done. Theses test will show how well the kidneys are working.
Talk to the doctor about any medicines you are taking:
- Do not take any new medicines, herbs, or supplements without talking to the doctor.
- You may be asked to stop taking some medicines up to one week before the procedure, like anti-inflammatory drugs, blood thinners, and anti-platelet drugs.
- 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.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You will receive fluids and medicines through an IV.
- Urine will drain through the tube into a bag. The urine may have blood in it for the first few days.
- Drink plenty of fluids.
- Follow the doctor’s instructions on cleaning the incision site.
- Ask the doctor about when it is safe for you to shower, bathe, or soak in water.
- Ask the doctor when you can resume normal activities.
Call Your Doctor
- Difficulty urinating
- Excess bleeding
- Signs of infection, including fever and chills
- Pus or bad smelling fluids draining from the incision site
- Redness or swelling at the incision site
- Urine that smells bad
- Pain that cannot be controlled with the medicines the doctor prescribed
- Nausea and/or vomiting that you cannot control with the medicines the doctor prescribed
American Academy of Pediatrics http://www.healthychildren.org
American Urological Association http://www.auanet.org
National Kidney and Urologic Diseases Information Clearinghouse http://www.kidney.niddk.nih.gov
Canadian Paediatric Society http://www.cps.ca
Canadian Urological Association http://www.cua.org
Health Canada http://www.hc-sc.gc.ca
Smith A. Smith’s Textbook of Endourology . 2nd ed. Hamilton, ON: BC Decker Inc.; 2007:834.
Ureteral reimplant surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: http://www.ucsfbenioffchildrens.org/education/ureteral%5Freimplant%5Fsurgery/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: https://dynamed.ebscohost.com/about/about-us . 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.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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