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Laparoscopic Ureteral Reimplantation

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(Laparoscopic Ureterectomy with Reimplantation)

 

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.

Anesthesia

General anesthesia may be used. It will be given through a vein in the arm or hand. 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.

Description of the Procedure

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 doctor will choose a method based on your specific condition.
Once the tools are removed the incisions in the abdomen will be closed with stitches. Bandages may be placed over the incisions.

Immediately After Procedure

After the operation, you will be taken to the recovery room for observation. If all is well, the breathing tube will likely be removed.

How Long Will It Take?

Two to three hours

How Much Will It Hurt?

Anesthesia prevents pain during surgery. There may be some pain as you recover. You may also have some cramping in your bladder. The doctor will give you medication to help manage any discomfort.

Average Hospital Stay

The usual length of stay is two days. You may need to stay longer if there are complications.

Post-procedure Care

At the Hospital
  • 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.
At Home
When you return home, take these steps:
  • 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.
Be sure to follow the doctor’s instructions.
 

RESOURCES

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 RESOURCES

Canadian Paediatric Society
http://www.cps.ca

Canadian Urological Association
http://www.cua.org

Health Canada
http://www.hc-sc.gc.ca

 

References


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: http://www.ebscohost.com/dynamed. 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.

 

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