Ureteroneocystostomy

Laparoscopic Ureteroneocystostomy

It refers to reimplantation of the ureter into the bladder. In the adult population, ureteroneocystostomy is primarily acclimated for disease or trauma involving the lower third allocation of the ureter that after-effects in obstruction or fistula. In children, ureteroneocystostomy it is frequently acclimated for surgical analysis of vesicoureteral reflux (VUR).

Laparoscopic ureteral reimplantation:

The events of ureteral injuries have been on the rise. Regretfully, the most of this increase can be attributed to the development of ureteroscopic techniques and complex pelvic laparoscopy. Although some shorter ureteral strictures can be managed via an endoscopic approach, success rates suffer when longer strictures are treated. Thus, these strictures are traditionally managed with open laparotomy, which is usually associated with a significant hospital stay and convalescence. Several investigators have described laparoscopic ureteral reimplantation as a minimally invasive alternative to the open approach with comparable short-term success rates.

Technique and outcomes of Ureteroneocystostomy

This minimally invasive technique allows for treatment of long strictures of the distal ureter, without the need for complex reconstructive maneuvers.

BENEFIT OF LAPAROSCOPIC UROLOGY SURGERY

As with other minimally invasive procedures, patients who undergo minimally invasive surgery benefit in several ways:

  • Shorter hospitalization
  • Reduced pain and discomfort
  • Faster recovery time and return to normal activities
  • Smaller incisions, resulting in reduced risk of infection
  • Reduced blood loss and transfusions
  • Minimal scarring
  • Most important of all, studies show that they may have better clinical outcomes.
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