About Ureteroureterostomy
Key Highlights
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Restores normal urinary drainage from the kidney to the bladder.Preserves long-term kidney function by relieving obstruction.Can be performed using minimally invasive techniques (laparoscopic/robotic) for less pain and faster recovery.Addresses the root cause of issues like hydronephrosis (kidney swelling) and recurrent infections.Offers a definitive solution for ureteral injuries or strictures that do not respond to stenting.
Who is this surgery for?
- Ureteral injury from trauma or accidental damage during other pelvic/abdominal surgeries.
- Benign or malignant ureteral strictures (narrowing) causing obstruction.
- Complications from previous urologic procedures, such as a failed ureteral reimplantation.
- Congenital abnormalities affecting the ureter that require reconstruction.
- Selected cases of ureteral tumors where segmental removal is possible.
- Severe vesicoureteral reflux (VUR) not amenable to other corrective surgeries.
How to prepare
- Comprehensive evaluation including imaging studies (CT urogram, IVP, ultrasound) to map the ureteral defect.
- Review of medical history, medications (especially blood thinners), and allergies.
- Pre-operative blood tests, urine analysis, and sometimes kidney function tests.
- Bowel preparation may be required if the surgical approach is near the intestines.
- Fasting for 8-12 hours before the surgery as per anesthesia guidelines.
- Discussion of anesthesia options (general anesthesia is standard) and surgical plan with the urologist.
Risks & possible complications
- Bleeding or infection at the surgical site.
- Leakage of urine from the anastomosis (connection site), which may require prolonged drainage.
- Formation of a stricture (re-narrowing) at the surgical junction over time.
- Injury to nearby structures like blood vessels, intestines, or nerves.
- Blood clots (deep vein thrombosis).
- Anesthesia-related risks.
- Failure of the connection, potentially leading to persistent obstruction or need for re-operation.
Recovery & hospital stay
- Hospital stay is typically required for monitoring, pain management, and ensuring the connection is healing without leaks.
- A temporary internal stent is usually placed across the repair site to support healing and is removed via cystoscopy after 4-6 weeks.
- Pain is managed with medications; patients are encouraged to walk soon after surgery to aid recovery.
- Drainage tubes (like a Foley catheter or abdominal drain) may be in place for a few days.
- Follow a urologist's advice on fluid intake and avoid strenuous activity and heavy lifting for several weeks.
- Follow-up imaging (like an ultrasound) is scheduled to confirm successful healing and unobstructed urine flow.
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Typical hospital stay: 3-5 days
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Expected recovery time: 4-6 weeks for resuming normal activities; full healing may take 2-3 months
Frequently Asked Questions
If you are considering ureteroureterostomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for ureteroureterostomy in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform ureteroureterostomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for ureteroureterostomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 120 Thousand – 350 Thousand | 3-5 days | ~ 4-6 weeks for resuming normal activities; full healing may take 2-3 months | Know More |
| Turkey | TRY 420 Thousand – 1.23 Million | 3-5 days | ~ 4-6 weeks for resuming normal activities; full healing may take 2-3 months | Know More |
Top hospitals for Ureteroureterostomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing ureteroureterostomy.
Saanvi Patel, a 28-year-old software engineer,...
Saanvi Patel, a 28-year-old software engineer, had been healthy until she developed severe, recurrent left flank pain. A CT scan revealed a congenital UPJ obstruction that had gone undiagnosed, but more critically, a 2 cm transitional cell carcinoma was found in her mid-ureter. The tumor was too large for endoscopic removal. Her urologist, Dr. Chen, recommended a segmental ureterectomy with ureteroureterostomy, removing the diseased segment and reconnecting the healthy ends, to preserve her kidney and avoid a nephrectomy. Saanvi was terrified of cancer and the potential loss of her kidney, fearing it could impact her future plans for a family. The robotic-assisted surgery was successful, with clear margins confirmed. Her recovery involved a temporary ureteral stent, which caused some discomfort, but it was removed after six weeks. Follow-up scans showed no recurrence and excellent kidney function. Emotionally, Saanvi transitioned from a state of shock and fear about her diagnosis to profound relief and gratitude. Preserving her kidney felt like preserving her future, and she became an advocate for regular check-ups among her peers.
Urologists for Ureteroureterostomy
Explore experienced urologists who regularly perform ureteroureterostomy and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore