URETERONEOCYSTOSTOMY FOR VESICO-URETERIC REFLUX AND STONE DISEASE
Ureteroneocystostomy refers to a procedure in which the ureter is reimplanted in the bladder. Dr Singh may recommend the surgery for the treatment of vesico-ureteric reflux. Vesico-ureteric reflux (VUR) is a condition in which the valve between the ureters and the bladder does not function as it should. The condition can cause urine to flow backwards, sometimes reaching as far back as the kidneys, causing severe damage.
Those suffering from VUR have symptoms such as the frequent or urgent need to urinate, pain in the lower back or side and have a weak stream.
Surgery is used in severe cases when no improvement occurs or when the kidneys are being damaged. Surgery is then used to repair problems in the valve between the bladder and ureters.
During ureteroneocystostomy, you will be under general anaesthesia. Dr Singh will make an incision in the abdomen to disconnect the ureters from the bladder and reattach them at a more suitable angle. The end of each ureter is then surrounded by bladder muscles in its new position in the bladder, which will prevent urine from backing up towards the bladder. The procedure may also be recommended if you have been diagnosed with kidney stone disease.
After surgery, you will be sent to the recovery room and may have a catheter attached to drain your urine while you heal. You will have to remain in hospital for a few days to be monitored. Several months later, after the surgery, an x-ray is done to make sure that the surgery was a success. It is unlikely that reflux will return after corrected. Dr Singh will prescribe antibiotics for you to take daily until your bladder and ureters have healed.