Laparoscopic 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.
Laparoscopic procedures use small incisions and specialized tools. This helps to avoid large incisions that are needed with open surgery.
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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:
Problems from the test are rare. However, all procedures have some risk. Your doctor will review potential problems, like:
Talk to the doctor about these risks before the procedure.
General anesthesia may be used. It will be given through an IV. 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.
A few small incisions will be made in your abdomen. Specialized tools will be inserted through the incisions. A series of incisions and stitches will be used to realign the ureter. The method used will be based on your specific condition.
After the tools are removed, the incisions in the abdomen will be closed with stitches. Bandages may be placed over the incisions.
After the operation, you will be taken to the recovery room for observation.
2 to 3 hours
Anesthesia prevents pain during surgery. There may be some pain as you recover. You may also have some cramping in your bladder. You will be given medication to help manage any discomfort.
The usual length of stay is 2 days. You may need to stay longer if there are complications.
Certain physical activities will be limited in the first few weeks such as heavy lifting or sexual activity.
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Urology Care Foundation
Canadian Urological Association
Ureteral reimplant. Children’s Hospitals and Clinics of Minnesota website. Available at: https://www.childrensmn.org/references/pfs/surg/ureteral-reimplant.pdf. Accessed January 29, 2021.
Ureteral reimplant surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: https://www.ucsfbenioffchildrens.org/education/ureteral_reimplant_surgery/index.html. Accessed January 29, 2021.
Ureteral reimplantation surgery. Children’s Hospital of Pittsburgh website. Available at: http://www.chp.edu/our-services/urology/patient-procedures/ureteral-reimplantation. Accessed January 29, 2021.
Vesicoureteral reflux. EBSCO DynaMed website. Available at:http://www.dynamed.com/topics/dmp~AN~T116455/Vesicoureteral-reflux. Accessed January 29, 2021.
Vesicoureteral reflux. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/vesicoureteralreflux. Accessed January 29, 2021.
Last reviewed March 2020 by EBSCO Medical Review Board Adrienne Carmack, MD