Ureteric re-implantation is a surgical procedure to reposition the ureter (the tube that carries urine from the kidney to the bladder) into the bladder. It is commonly performed to correct urine flow issues such as vesicoureteral reflux (VUR) or ureteral obstruction, and may be done open, laparoscopically, or robotically.
Who Needs ?
- Vesicoureteral reflux (VUR) – backward flow of urine from the bladder to the kidney
- Ureteric obstruction – narrowing or blockage at the ureter’s entry into the bladder
- Ureteral injury (from surgery or trauma)
- Ureterocele or ectopic ureter (birth defects)
- Failed previous endoscopic correction of reflux
- Recurrent urinary tract infections (UTIs) associated with reflux or obstruction
How the Procedure Works:
- Performed under general anesthesia
- Surgical Approaches
- Procedure Steps
- Recovery
Advantages:
- Prevents kidney damage from reflux or backpressure
- Reduces recurrent UTIs
- Corrects anatomical defects in children and adults
- High long-term success rate
Limitations / Risks:
- Urinary leakage at reimplantation site
- Infection or bleeding
- Ureteral kinking or obstruction (rare)
- Need for stent placement temporarily
- Longer recovery for open surgery than minimally invasive techniques
- Requires experienced surgical team, especially for laparoscopic/robotic approaches