Boaris Flap Ureteric Reimplantation Treatment in Turkey
About Boaris Flap Ureteric Reimplantation
Key Highlights
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Definitive surgical correction for high-grade vesicoureteral reflux (VUR).Preserves long-term kidney function by preventing backflow of infected urine.Significantly reduces the risk of recurrent, severe urinary tract infections (UTIs).Can correct associated ureteral obstructions or abnormal insertions.Offers a high long-term success rate in preventing reflux.Performed by specialized urologists, often using precise surgical techniques./ul
Who is this surgery for?
- High-grade (Grade IV-V) vesicoureteral reflux (VUR) that does not improve with conservative management.
- Breakthrough febrile urinary tract infections despite continuous antibiotic prophylaxis.
- Progressive kidney scarring (reflux nephropathy) or impaired kidney growth.
- Congenital abnormalities of the ureterovesical junction, like ectopic ureter or ureterocele.
- Persistent reflux in older children or adults.
- Secondary VUR due to neurogenic bladder or prior surgery.
- Obstruction at the point where the ureter enters the bladder.
How to prepare
- Comprehensive pre-operative evaluation including urine tests, kidney ultrasound, and a voiding cystourethrogram (VCUG).
- Discussion of medical history, allergies, and current medications with the urologist and anesthesiologist.
- Possible need to stop certain medications like blood thinners (aspirin, warfarin) days before surgery.
- Fasting (no food or drink) for 6-8 hours prior to the scheduled surgery time.
- Pre-operative counseling to understand the procedure, risks, and recovery expectations.
- Arranging for help at home and time off work/school for the recovery period.
Risks & possible complications
- Standard surgical risks: Reaction to anesthesia, bleeding, infection, or blood clots.
- Persistent or recurrent vesicoureteral reflux after surgery.
- Urinary obstruction at the new implantation site, potentially requiring a stent.
- Injury to surrounding organs (intestines, blood vessels).
- Urinary leakage or fistula formation.
- Bladder spasms or temporary difficulty with urination.
- Scar tissue formation (stricture) in the ureter over the long term.
Recovery & hospital stay
- Hospital stay typically required for pain management, monitoring, and ensuring the ureter and bladder heal properly.
- A temporary internal stent or external drain may be placed to protect the new connection; its removal is a simple procedure later.
- Pain is managed with prescribed medications; a catheter may drain the bladder for a few days.
- Patients should avoid strenuous activities, heavy lifting, and contact sports for several weeks.
- Increased fluid intake is encouraged to flush the urinary system.
- Follow-up appointments are crucial for imaging tests (like ultrasound) to confirm the success of the procedure and check kidney health.
- Full return to normal activities may take a few weeks, with complete internal healing taking several months.
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Typical hospital stay:
3-5 days
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Expected recovery time:
4-6 weeks for normal activities, 3-6 months for complete healing
Frequently Asked Questions
If you are considering boaris flap ureteric reimplantation in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for boaris flap ureteric reimplantation in Turkey include Istinye Üniversitesi Hastanesi Liv, Liv Hospital Bahçeşehir, Liv Hospital Ankara, 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 boaris flap ureteric reimplantation. 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 boaris flap ureteric reimplantation compare across other countries where we have data.
Top hospitals for Boaris Flap Ureteric Reimplantation in Turkey
These partner hospitals in Turkey have dedicated urology teams and experience managing patients undergoing boaris flap ureteric reimplantation.
Istanbul, Turkey
140 Doctors
Saanvi Johnson, a 42-year-old elementary school...
Saanvi Johnson, a 42-year-old elementary school teacher and mother of two, experienced a traumatic complication during a routine hysterectomy for fibroids. The surgery accidentally injured her right ureter, leading to a persistent urinary leak. For weeks, she dealt with constant dampness, skin irritation, and the emotional distress of the accident. A nephrostomy tube was placed to drain her kidney directly, which was a daily reminder of the problem. Her urologist, Dr. Chen, recommended a Boari Flap procedure to bridge the gap created by the damaged section of ureter, using a flap of her own bladder. Saanvi was terrified of another surgery but desperate to be free of tubes and leaks. The procedure was successful. The post-operative pain was managed well, and the nephrostomy tube was removed. After a few months of careful recovery, her system was functioning normally again. Emotionally, the journey was from betrayal and frustration to immense gratitude and closure. She felt whole again, able to fully engage with her family without the physical and emotional burden of the injury.
Urologists for Boaris Flap Ureteric Reimplantation
Explore experienced urologists who regularly perform boaris flap ureteric reimplantation and provide pre- and post-operative care in Turkey.
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