Ureterocystoneostomy

There is a loyalty program for surgical operations in the hospital, which makes treatment even more affordable.

Ureterocystoneostomy – This is a surgical operation aimed at restoring the normal functioning of the upper urinary tract. It is performed when the patency of the pelvic ureter is impaired.

The operation involves transplanting the ureter into the bladder (therefore it is also called reimplantation of the ureter). The surgeon cuts out the affected tissue, then performs plastic surgery of the ureter and widens its diameter, and then forms a new anastomosis – connection of the ureter with the bladder. At the same time, reimplantation is carried out in such a way that the bladder begins to play the role of a valve and blocks the occurrence of reflux – backflow of urine into the ureter.

If the operation is carried out in time, in most cases it is possible to restore the anatomical and physiological connection of the ureter with the bladder and, accordingly, to normalize the functioning of the kidney and urinary tract.

Ureterocystoneostomy is performed:

• laparotomy - through open access, which involves making a wide incision in the lower abdomen;

• laparoscopically - using high-tech equipment, which allows 3-4 punctures with a diameter of about 1 cm to be made instead of an incision.

The choice of surgical intervention method depends on the complexity of the pathology and the patient's general health.

The specialists of «Oxford Medical» are perfectly familiar with both techniques, but prefer laparoscopy (when it is optimal for the patient).

Laparoscopic ureterocystoneostomy - is a less traumatic operation and is more easily tolerated by patients. Thanks to small incisions (punctures), blood loss and the risk of infectious complications are reduced, the length of hospitalization is reduced, and the recovery process is much easier and faster than after open surgery.

Advantages of performing urological surgeries laparoscopically:

• minimal damage to healthy tissues;

• low blood loss;

• reduced risk of complications;

• maximum accuracy of surgical manipulations;

• reduced length of hospitalization and rehabilitation;

• faster and easier postoperative recovery;

• formation of small, almost invisible scars.

Before the operation, the patient undergoes a comprehensive examination to confirm the presence of indications and exclude contraindications.

The following may be prescribed:

• Ultrasound of the pelvic organs;

• Excretory and retrograde urography;

• Cystoscopy;

• Blood and urine tests.

Also, before the operation, an electrocardiogram (ECG), fluorography (results valid for a year) and laboratory tests of urine and blood are required.

Immediately before the operation, bowel cleansing with an enema may be required. For a few days, the patient is recommended to follow a light diet, and on the day of the operation to come to the clinic on an empty stomach. Regarding the intake of any medications before the operation, it is necessary to consult a doctor in advance. In particular, it is recommended to stop taking medications that affect blood clotting 2 weeks in advance.

In difficult cases, when extensive plastic surgery is required, ureterocystoneostomy is performed through open access. The laparoscopy method is much more often used, which allows you to do without a cavity incision.

Instead, 3-4 punctures with a diameter of about 1 cm are made on the abdominal wall or lateral surface of the abdomen. A laparoscope equipped with a video camera with a built-in LED is inserted through them. The image from it is transmitted to the monitor screen and magnified. To improve the view and expand the working space, carbon dioxide is pumped into the abdominal cavity, which raises the abdominal wall.

Then, under visual control provided by the laparoscope, the surgeon inserts trocars - special surgical instruments - through other punctures. With their help, he performs the necessary surgical manipulations.

The technique of performing ureterocystoneostomy may differ depending on the type and complexity of the pathology. The professionalism and experience of surgeons in combination with the use of high-tech equipment allows it to be performed effectively and in the least traumatic way.

The essence of ureterocystoneostomy is the resection of the affected tissues and the formation of a new ostium. To do this, the surgeon exfoliates the serous membrane of the bladder and dissects the muscle layer. In this way, a groove about 3 cm long is formed, into which the end of the ureter is inserted. After that, it is closed with the muscle tissues of the bladder and sutured.

At the end of the operation, the surgeon conducts a thorough examination of the abdominal cavity, coagulates blood vessels if necessary, after which he removes the trocars, pumps out carbon dioxide and applies sutures and sterile bandages to the puncture sites.

In most patients, rehabilitation after laparoscopic operations is much easier than after open operations. This also reduces the length of hospitalization - usually patients are discharged on the 3rd day. In more complex cases, they need to stay in the hospital for about a week.

To prevent complications and ensure successful recovery, patients are prescribed antibacterial, anti-inflammatory and painkillers.

On the day of the operation, it is recommended to adhere to bed rest. You can get up and eat only after consulting a doctor.

In the future, patients are recommended to follow a diet: do not eat salty, spicy, fried and smoked foods, give up alcohol and smoking, limit the consumption of chocolate and coffee. Also contraindicated are heavy lifting, running, sudden movements and heavy physical exertion. After full recovery, most restrictions are removed and patients return to their usual lifestyle.

Any surgical operation has a certain risk of complications, but the high professionalism of surgeons in combination with modern technologies allows to minimize it. Also of great importance are the correct preoperative preparation and the patient's compliance with all medical recommendations after the operation.

Ureterocystoneostomy is most often performed laparoscopically. This method is much less traumatic than open access operations, which reduces the risk of complications. Due to the small size of the punctures, there is no significant blood loss, and the use of trocars with a vacuum system virtually eliminates the possibility of infection.

Surgeons of "Oxford Medical" have over 20 years of practical experience and have already performed hundreds of successful operations. By contacting our clinic, you can be sure that your health is in good hands.

«Oxford Medical» has a modern surgery department with two operating rooms equipped with equipment from the best American and European manufacturers. It allows for open and laparoscopic surgeries of any complexity.

Urological surgeons with many years of experience perform surgeries for diseases of the urinary system. They have undergone additional training and internships in laparoscopy and regularly attend international conferences, seminars, and advanced training courses.

Providing quality medical care to each patient is the main priority of the entire Oxford Medical team.

The cost of ureterocystineostomy may vary depending on the method of surgical intervention: laparoscopically or through open access, as well as the complexity of the operation, which depends on the patient's diagnosis and other individual characteristics. You can find out the prices for ureteral reimplantation at «Oxford Medical» here. A urologist will advise you more specifically on the cost during your initial consultation. Make an appointment at a time convenient for you.