Human urinary system consists of the kidneys, bladder and ureters. The kidneys filter the blood to move out the waste and form urine. Ureter is the tube which carries urine from the kidneys to the bladder.
Sometimes the ureter is connected in such a way that it flow back the urine to the kidneys, which can damage the kidneys. In uretric reimplantation the ureter is fixed to its usual place.
The procedure complete in one and half or two hours and is done under general anaesthesia .
The surgeon makes an incision in the lower abdomen and disconnects the ureters .The surgeon then reconnects the ureter in its original place .The end of the ureter which joins the bladder is surrounded by muscle which stops the urine to flow back to the kidneys. Once the ureter is in place, it is secured with stitches (sutures).
POST OPERATIVE CARE
Once you start eating and drinking and feel good about yourself then you can go home. On the next day after surgery you can start eating and drinking .After discharge the doctor will give you some important information regarding your catheter as how to use it and prescribe you about antibiotics to prevent you from wound or any other infection . Take your medication properly as prescribed by doctor. The doctor will also prescribe you about ultrasound in 4-6 months time to ensure the proper functioning of the ureters and the kidneys .
Once you are at home try to avoid the following activities :
- Try to avoid all those activities which give pressure on the catheter .
- You can shower or bath as you like.
- Try to keep the incision area clean & dry and peeled off the stitches on the fifth day after surgery.
- Emptied the catheter bag many times a day.
- Drink plenty of water as it flush out bleeding and will prevent you from any type of infection
- Check your catheter regularly to avoid any kink or blockage in the tubing.
- If patient is passing large amount of urine urethrally but there is no urine draining into the bag then it means catheter is blocked in that case contact your nurse or doctor immediately. Once patient passed the urine normally the catheter is removed. Before removing it a dose of Pamol or Prindette is given to feel them comfortable.
- Contact your nurse if you have the following problem:
- Continuous vomiting
- High temperature
- Swelling, discharge or bleeding around the wound and excessive redness.
- If urine becomes cloudy, smelly or heavily bloodstained.
RISKS & COMPLICATIONS:
Ureteric reimplantation procedure is very effective and safe and includes very low risk. Complications like wound or urine infection and bruising are not common.