Dr. Nitin Negi

Ureteric Reimplantation

Surgery Overview

At Children’s Hospital of Pittsburgh of UPMC, we believe parents and guardians can contribute to the success of this surgery and we invite you to participate. Please read the following information to learn about the surgery and how you can help.

Fast Facts About Ureteral Reimplantation Surgery
  • Ureteral reimplantation is a surgery to fix the tubes that connect the bladder to the kidneys.
  • The surgery changes the position of the tubes at the point where they join the bladder to stop urine from backing up into the kidneys.
  • Your child’s surgery will be done under general anesthesia (an-es-THEEZ-ya), which means that he or she will be sound asleep during the surgery.
  • In addition to the general anesthesia, your child may receive caudal (COD-ool) anesthesia, which will give pain relief in the area below the waist.
  • A pediatric urology surgeon—a doctor who specializes in conditions of the urinary tracts and reproductive organs of children—will do your child’s ureteral reimplantation surgery.
  • Your child will stay in the hospital for 1 to 2 days after this surgery.
  • This surgery takes several hours to complete.

What Is Ureteral Reimplantation?

Ureteral reimplantation is used to treat reflux, a condition in which urine from the bladder is able to flow back up into the kidneys through the tubes that connect the kidneys with the bladder.

  • When these tubes, called the ureters, are working properly, urine flows only one way out through them from the kidneys and into the bladder so that it can leave the body. The ureters connect to the bladder through a tunnel that acts as a valve to keep urine from flowing backward.
  • Sometimes, a ureter has a bad connection to the bladder wall. When there is not enough of the tunnel at the connection point, reflux will occur. If left untreated, reflux can cause scarring of the kidneys and permanent kidney damage.
  • When reflux is not expected to go away with time, or is causing kidney damage, surgery is needed.
  • Surgery to correct reflux consists of changing the way the ureter connects to the bladder by creating a new tunnel into the bladder. The doctor "reimplants" the ureter to fix its connection to the bladder.