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 reconstructing the middle or upper sections of the ureter, requires a functional kidney, and harvesting of buccal mucosa. Limitations may exist in cases of oral mucosal diseases and in patients with professions involving wind instruments.
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 repair using buccal mucosa 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
2 days bladder catheter, 3-4 weeks ureteral stent
Catheter
2 days
Hospital stay
2-4 hours, depending on complexity
Surgery time
Da Vinci, robot-assisted
Method
Treatment information
Ureteral repair using buccal mucosa is a procedure in which the ureter is expanded in the area of a scar-related narrowing (stricture) using a piece of buccal mucosa to restore urine flow.
Ureteral
repair using
buccal mucosa
repair using
buccal mucosa
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.
First, a piece of mucosa is harvested from the oral cavity. Then, the narrowed section of the ureter is slit open, and the buccal mucosa piece is sutured onto it to expand the lumen of the ureter. Subsequently, an internal ureteral and bladder catheter are inserted for healing.
What risks should be considered?
02/
In the oral area, swelling, sensory disturbances, or scarring can occur, as well as temporary difficulties in speaking or eating. In the ureteral area, possible side effects include urinary retention, scar formation, inflammations, 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/
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