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Laparoscopic Ureteric Excision and Reimplantation

Laparoscopic ureteric excision and reimplantation is a surgical technique that involves the removal of the lower part of the ureter and a part of the bladder. The remaining ureter is reimplanted into the bladder. The procedure is indicated for the treatment of transitional cell carcinoma (cancer in tissue lining the kidney, ureter and bladder) and ureteral strictures (blockage of the ureter).

Laparoscopic ureteric excision and reimplantation is performed under general anesthesia. Your surgeon makes 3 to 4 small incisions in the abdomen and inserts a laparoscope (tube with a light and a small camera attached) to view the abdominal cavity. Surgical instruments are passed through the other incisions. The lower end of the ureter and a section of the bladder are freed from the surrounding tissues and excised.The excised section is placed in a bag and removed. Your surgeon reimplants the remaining length of ureter in the bladder. The opening in the bladder is closed. A stent (thin tube) may be placed for 4 to 6 weeks to keep the ureter open as it heals. A catheter is placed in the bladder to drain the urine. The incisions are closed with sutures.

Like all surgical procedures, laparoscopic ureteric excision and laparoscopic ureteric reimplantation may be associated with certain complications, which include:

  • Bleeding
  • Infection
  • Damage to neighboring organs
  • Difficulty in urination
  • Urine leakage
  • Blood clots

The advantages of the laparoscopic approach to ureteric excision and laparoscopic ureteric reimplantation when compared to open surgery include:

  • Smaller incisions and less scarring
  • Reduced hospital stay
  • Faster recovery
  • Less post-operative pain and discomfort

NMC UroCare provides specialized and experienced urologists and the best quality treatments available. For further information on Laparoscopic Ureteric Excision and Laparoscopic Ureteric Reimplantation, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/.