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
Ureteral reconstruction with a segment of the small bowel is a rare, large, and complex urological operation that requires a functional kidney, harvesting of a part of the small bowel, and special preparation. Limitations exist for patients with intestinal diseases or previous intestinal surgeries.
Special Features
Patients often suffer from flank pain due to urinary retention and problems 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 ileal ureter is a robot-assisted, minimally invasive keyhole surgery requiring 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
Initially spinal anesthesia, then oral painkillers
Pain
10 days bladder catheter, 3-4 weeks ureteral stent
Catheter
7-10 days
Hospital stay
4 - 6 hours, depending on complexity
Surgery time
Da Vinci, robot-assisted
Method
Treatment information
Ileal ureter or ureteral repair using a bowel segment (intestine) is a procedure in which the ureter is mostly or completely replaced with a part of the small bowel. This is necessary for long (over 8 cm) or multiple scar-related narrowings of the ureter that obstruct urine flow.
Ileal
ureter
ureter
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 operation, an appropriate part of the small bowel is first isolated while preserving its blood supply (blood vessels), and its continuity is restored. Then, the ureter is replaced with this part of the bowel, and the other end of the bowel is implanted in the bladder. Subsequently, an internal ureteral and bladder catheter is inserted for healing.
What risks should be considered?
02/
Possible side effects include urinary retention, recurrence of scarring obstructing urine flow, urine leakage, 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/
The operation aims at restoring normal urine flow; therefore, continuous monitoring of the kidneys is essential. 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