Ureteroneocystostomy surgical procedure involves reimplanting the ureter into the bladder скачать в хорошем качестве

Ureteroneocystostomy surgical procedure involves reimplanting the ureter into the bladder

Ureteroneocystostomy is a surgical procedure that involves reimplanting the ureter into the bladder. It is commonly performed to address issues such as ureteral injuries, strictures, obstructions, or vesicoureteral reflux (a condition where urine flows backward from the bladder into the ureters). Key Points: Indications: This procedure is often used for distal ureteral defects (typically within 3-5 cm of the bladder) caused by trauma, disease, or surgical complications. It is also employed in renal transplantation to connect the donor ureter to the recipient's bladder. Techniques: Open Surgery: Traditional approach involving an incision to access the ureter and bladder. Minimally Invasive Methods: Laparoscopic or robotic-assisted techniques are increasingly used for reduced recovery time and scarring. Modifications: Techniques like the psoas hitch (attaching the bladder to the psoas muscle) or Boari flap (using a bladder flap to bridge longer defects) may be employed for more extensive ureteral damage. Procedure: The damaged segment of the ureter is removed, and the healthy end is reimplanted into the bladder. A stent is often placed temporarily to ensure proper healing and urine flow. Recovery: Patients typically recover within a few weeks, but follow-up is essential to monitor for complications like infections or strictures #Ureteroneocystostomy