Ureteral reimplantation surgery - children
The ureters are the tubes that carry urine from the kidneys to the bladder. Ureteral reimplantation is surgery to change the position of these tubes where they enter the bladder wall.
Ureteroneocystostomy - children; Ureteral reimplant surgery - children; Ureteral reimplant; Reflux in children - ureteral reimplantation
This procedure changes the way the ureter is attached to the bladder.
The surgery takes place in the hospital while your child is asleep and pain-free. The surgery takes 2 to 3 hours.
During surgery, the surgeon will:
The surgery can be done in 3 ways. The method used will depend on your child's condition and how the ureters need to be reattached to the bladder.
Your child will be discharged 1 to 2 days after the surgery.
Why the Procedure Is Performed
The surgery is done to prevent urine from flowing backwards from the bladder to the kidneys. This is called reflux, and it can cause repeat urinary tract infections and damage the kidneys.
This type of surgery is common in children for reflux due to a birth defect of the urinary system. In older children, it may be done to treat reflux due to injury or disease.
Risks for any surgery are:
Risks for this procedure are:
Long-term risks include:
Before the Procedure
You will be given specific eating and drinking instructions based on your child's age. Your child's doctor may recommend that you:
After the Procedure
After surgery, your child will receive fluids in a vein (IV). Along with this, your child may also be given medicine to relieve pain and calm bladder spasms.
Your child may have a catheter, a tube that will come from your child's bladder to drain the urine. There also may be a drain in your child's belly to let fluids drain after surgery. These may be removed before your child is discharged. If not, the doctor will tell you how to care for them and when to come back to have them removed.
When your child comes out of anesthesia, your child may cry, be fussy or confused, and feel sick or vomit. These reactions are normal and will go away with time.
Your child will need to stay in the hospital for 1 to 2 days, depending on the type of surgery your child had.
The surgery is successful in most children.
Elder JS. Vesicoureteral reflux. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 554.
Khoury AE, Bägli DJ. Vesicoureteral reflux. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA; Elsevier; 2016:chap 137.
Pope JC. Ureteroneocystostomy. In: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas of Urologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 33.
Richstone L, Scherr DS. Robotic and laparoscopic bladder surgery. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA; Elsevier; 2016:chap 96.
Review Date: 1/31/2019
Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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