The ureteral reimplantation procedure is a surgical intervention designed to correct a condition known as vesicoureteral reflux (VUR). VUR occurs when urine flows backward from the bladder into the ureters, the tubes that carry urine from the kidneys to the bladder. This backflow can lead to recurrent urinary tract infections (UTIs) and, if left untreated, potentially cause kidney damage. This article provides essential information for patients considering this procedure at our physicians’ hospital in Webster.
Understanding Ureteral Reimplantation
Normally, the ureters connect to the bladder in a way that prevents urine from flowing back up toward the kidneys. However, in individuals with VUR, this connection is faulty. Ureteral reimplantation surgery aims to create a new, more effective connection, resolving the reflux and protecting the kidneys. The procedure involves detaching the ureter from its current position on the bladder, creating a new tunnel within the bladder wall, and reattaching the ureter within this tunnel. This new positioning ensures that the bladder muscle compresses the ureter during urination, preventing backflow.
Before the Procedure
Before undergoing ureteral reimplantation, a thorough evaluation by a urologist in Webster, TX, is necessary. This typically includes:
- Medical History and Physical Exam:Your doctor will review your medical history and perform a physical examination.
- Imaging Tests:Ultrasound, VCUG (voiding cystourethrogram), or other imaging studies may be used to assess the severity of the reflux and the anatomy of your urinary tract.
- Urine Tests:These tests can help identify any existing infections.
Your doctor will provide specific instructions regarding:
- Medications:You may need to adjust or temporarily stop taking certain medications before surgery.
- Fasting:You’ll receive instructions on when to stop eating and drinking before the procedure.
During the Procedure
Ureteral reimplantation is performed under general anesthesia. The surgical approach can vary, but common methods include:
- Open Surgery:This involves a small incision in the lower abdomen.
- Laparoscopic Surgery:This minimally invasive approach uses small incisions and a camera to guide the surgeon.
- Robotic Surgery:This is similar to laparoscopic surgery, but with robotic assistance for enhanced precision.
The specific technique used will depend on individual factors and the surgeon’s expertise. The surgery typically takes 2-3 hours. A catheter will be placed to drain urine from the bladder during the initial recovery period.
After the Procedure
Following surgery, you can expect:
- Hospital Stay:Typically, a 1-to-2-day hospital stay is required.
- Pain Management:Pain medication will be provided to manage any discomfort.
- Catheter:The catheter will remain in place for a short period to allow for healing.
- Activity Restrictions:You’ll need to avoid strenuous activity for several weeks.
- Follow-up:Regular follow-up appointments are crucial to monitor healing and ensure the procedure’s success.
Finding the Right Care
If you or a loved one is considering ureteral reimplantation, finding an experienced urologist in Webster, TX, is essential. Houston Physician’s Hospital offers comprehensive urological care, with skilled surgeons experienced in performing this procedure.
On the Urology services page, you can scroll down and find a urologist who’s right for you. Then click their link to visit their website and make an appointment.