What is Ureteroneocystostomy surgery?
Ureteroneocystostomy (antireflux surgery or ureteral reimplantation) involves repositioning of the affected ureter or ureters within the bladder in such a way that a longer tunnel is created through the bladder wall to prevent reflux. Various open operations have been devised to achieve this result.
How long does ureteral reimplantation surgery take?
The surgery takes 2 to 3 hours. During surgery, the surgeon will: Detach the ureter from the bladder. Create a new tunnel between the bladder wall and muscle in a better position in the bladder.
What are the potential complications with ureteral reimplantation surgery?
Risks and possible complications
- Bleeding (may require a blood transfusion)
- Infection.
- Pain.
- Urine leakage from the ureters.
- Stricture of ureters returns.
- Damage to the bladder, bowels, or other organs.
- Kidney damage.
- Risks of anesthesia (the anesthesiologist will discuss these with you)
What is Neoureterocystostomy?
Neoureterocystostomy is a well-described technique for the surgical management of ureteral ectopia in canine patients. However, successful surgical management of extramural ectopic ureters (EUs) associated with severe hydronephrosis/hydroureter and contralateral renal aplasia has not been previously reported.
What is a Ureterolithotomy?
Ureterolithotomy refers to the open or laparoscopic surgical removal of a stone from the ureter.
How much does ureteral reimplantation surgery cost?
The median hospital cost for RALUR was $9,128 versus $7,273 for open ureteral reimplantation, however, there was a considerable variability from the differential experience among centers expressed as complications, and the higher cost of RALUR was associated with a significantly higher rate of complications.
How successful is ectopic ureter surgery in dogs?
Conclusions: The prognosis after surgery is fair with a success rate of 72% and a complication rate of 26%. Resection of only the intravesicular ectopic ureter resulted in resolution of incontinence in a high percentage of dogs and thus is an acceptable alternative to removal of the entire ureteral remnant.
What is ureteral Extravesical reimplantation?
Laparoscopic extravesical ureteral reimplantation is another option in the surgical management of vesicoureteric reflux. It offers a greater success rate and durability compared to injection therapy, while offering cosmetic and convalescence advantages over open surgery in the older child.
How is Urinoma treated?
Treatment for small urinomas is usually conservative as the collection will most often be reabsorbed. Larger urinomas even without systemic signs often necessitate more aggressive medical treatment. A drainage catheter can be placed with ultrasound or CT guidance.