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
For reconstruction, the affected kidney should be functional.
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 ureteral reimplantation 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
2 days
Hospital stay
1 - 2 hours
Surgery time
Da Vinci, robot-assisted
Method
Treatment information
Ureteral reimplantation is the translocation of the ureter orifice to a new position in the bladder. It is performed due to a scar-related narrowing (stricture) of the lower ureter that obstructs urine flow.
Ureteral
reimplantation
reimplantation
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 ureter is cut above the stricture and transplanted to a new position in the bladder. The bladder is brought up to the ureter and attached to the underlying muscle (Psoas Hitch technique). In some cases, a part of the bladder is used to bridge the distance of the ureteral defect (Boari technique). Subsequently, an internal ureteral and bladder catheter are inserted for healing.
What risks should be considered?
02/
Possible side effects include urinary retention, recurrence of scarring obstructing urine flow, inflammations, urine leakage, and urinary tract infections.
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