of patients require no further surgeries after reconstructive surgeries
95,9 %
of patients experience no significant complications after reconstructive surgeries
97,3 %
Benefits of Dr. Sarychev's Surgery
97,3 % — without significant complications
This method is suitable for reconstruction on the right side, requires a functional kidney and harvesting of the appendix. Limitations may exist for patients with intestinal diseases or previous intestinal surgeries.
Special Features
Affected patients often suffer from flank pain due to urinary retention and discomfort during urination. Other possible consequences include recurring urinary tract infections, stone formation, chronic kidney failure, and in the worst case, loss of kidney function.
Symptoms
In about three-quarters of the cases, this narrowing results from medical procedures or previous radiation.
Causes
The Da-Vinci appendiceal ureteroplasty is a robot-assisted, minimally invasive keyhole surgery that requires special surgical expertise. Instruments are introduced under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.
Ureter
About the procedure
Uroviva Praxis, Männedorf
Consultation
Spital Männedorf
Spital Herisau
Spital Herisau
Surgery locations
no dressings, the stitches are self-dissolving
Wounds
minimal, oral painkillers
Pain
10 days bladder catheter, 3 weeks ureteral stent
Catheter
3 - 5 days
Hospital stay
2-4 hours, depending on complexity
Surgery time
Da Vinci, robot-assisted
Method
Treatment information
Appendiceal ureteroplasty or ureteral repair using the appendix is a procedure where a part of the ureter is replaced or expanded using the appendix. This procedure is particularly performed on the right side and is used for scar-related narrowings (strictures) of the ureter that obstruct urine flow.
Appendiceal
ureteroplasty
ureteroplasty
How is the surgery performed?
Questions about the procedure
3 questions
01/
The success of the operation depends on the team’s experience and specific patient data.
During the procedure, the appendix is first isolated while preserving its blood supply (blood vessels). Then, the affected ureteral segment in the area of the stricture is replaced by the isolated appendix. Alternatively, the narrowed segment of the ureter can be slit and the longitudinally split appendix sutured onto it to expand the lumen of the ureter. Subsequently, an internal ureteral and bladder catheter are inserted for the healing phase.
What risks should be considered?
02/
Possible side effects include urinary retention, recurrence of scarring obstructing urine flow, inflammations, and urinary tract infections. Intestinal complications such as obstruction, leaks, and delayed activity, which may require further interventions, are also possible.
Surgery-specific risks
Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.
Patient-specific risks
Every surgery carries certain risks, such as bleeding during or after the operation, damage to adjacent organs, or wound healing problems.
General surgical risks
What happens after the surgery?
03/
After the surgery, which aims at restoring normal urine flow, continuous monitoring of the kidneys is essential. Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.
Surgery videos
Da-Vinci procedures by Dr. Sarychev on YouTube.
YouTube · @DrSarychev
Watch surgery videos
@DrSarychev