Urine normally flows from the kidneys through tubes called ureters and into the urinary bladder, where it is stored until the urge to urinate. Damage to the ureters causes reflux of urine back into the kidneys. Ureteral reconstruction is a surgery performed to re-connect the ureters at the right place in the bladder to prevent reflux of urine and relieve any obstruction in the ureter. The Boari flap procedure is a modification to ureteric re-implantation and involves the formation of a ureteral tube from a flap of bladder tissue.
The Boari’s flap procedure is performed under general anesthesia. Your doctor makes an incision in your lower midline and your ureter and bladder are exposed. The damaged section of the ureter is excised. A flap of bladder tissue is cut and rolled over the ureter to form a tube, and is sutured. The base of the flap is sutured to the bladder. Your doctor may place a ureteral stent (thin tube) inside the ureter to reduce urological complications. The incisions are then sutured closed.
Like all surgeries, Boari’s flap surgery may be associated with certain complications such as recurrent narrowing of the ureter due to tension at the surgical connection and development of pseudodiverticulum (a projection of the inner layers of the ureter tissues).
There are alternate minimally invasive/laparoscopic procedures that can be availed of. The open Boari’s flap surgery is restricted to selected cases only. Your surgeon will discuss your options with you based on your particular medical history.
NMC UroCare provides specialized and experienced urologists and the best available quality treatments. For further information on Open Boari’s Flap surgery, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/