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 the reflux of urine back into the kidneys. Ureteral re-implantation is a surgery performed to re-connect the ureters at the right place in the bladder to prevent the reflux of urine and relieve any obstruction in the ureter. The psoas hitch procedure is a modification to ureteric re-implantation and involves joining the bladder wall to the psoas muscle (a long muscle located on the side of the abdominal region). This procedure is commonly used in cases of damage or disease in the lower part of the ureter.
Psoas hitch re-implantation is performed under general anesthesia. The surgery takes about 1 to 2 hours to complete. Your doctor makes an incision on the lower abdomen midline and fills your bladder with saline (salt water). Your bladder and ureters are exposed. The obstruction in the ureter is identified and removed carefully so that the blood supply to the ureter is intact. The bladder is immobilized and brought closer to the shortened ureter. An incision is made around the bladder and is sutured to the psoas muscle along with the ureter.
Like all surgeries, ureteric re-implantation with PSOAS hitch may also be involved with certain complications such as ureteral obstruction, urinary fistula (abnormal connection) and damage to the surrounding nerves and blood vessels.
There are alternate minimally invasive/laparoscopic procedures that can be availed of. The open ureteral re-implantation 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 quality treatments. For further information regarding Ureteric Re-implantation with PSOAS Hitch please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/.