Ureterocystoanastomosis. Prices, reviews, ratings
General information
Ureterocystoanastomosis can be of two types:
- unilateral;
- bilateral.
In the case, when the distal ureter is completely affected, it may be necessary to replace the ureteral wall tissue with a piece of intestine.
Procedure
Preparation
The way the surgery is performed depends on the extent of the stenosis. Preparation before ureteral cystoanastomosis depends on the severity of the ureteral stricture disease. But in any case, the patient needs antibacterial therapy and treatment for pyelonephritis, which most often accompanies ureteral stricture.
The process of performing ureterocystoanastomosis
The operation takes place in several stages:
- Administration of anesthesia into the patient's body.
- An incision in the area of the ureter where the stricture is located.
- Mobilization of the ureter.
- Both ends of the ureter are connected using nodal catgut.
- A splint tube is inserted into the renal pelvis and brought out through the urethra. It plays the role of a splinting and drainage element.
Rehabilitation course
Rehabilitation after ureterocystoanastomosis depends on the nature of the operation. General recommendations for any patient are bed rest for 2-3 weeks after surgery. The drainage tube can be removed from the ureter after three weeks.
If there is a single stricture in the ureter, a direct ureterocystoanastomosis can be used, and in the case of extensive strictures that reach 10-12 cm in length, as well as strictures of the pelvic ureter, a Boari ureterocystoanastomosis is used.
Indications
Ureterocystoanastomosis surgery is a mandatory and necessary measure.
Indications for ureterocystoanastomosis:
- ectopia of the ureteral orifice;
- vesicovaginal fistulas that are located in the area of the ureteral orifice;
- stricture of the lower third of the ureter;
- kidney transplant.
Contraindications
Ureterocystoanastomosis has the following contraindications:
- severe renal failure;
- serious changes in the upper urinary tract above the stricture.
But surgery is still necessary. Therefore, to eliminate such problems, the doctor makes a preliminary nephrostomy, after which it is possible to proceed with the operation to connect the fragments of the bladder and ureter.
Complications
Insertion of a surgical instrument into the ureter during ureterocystoanastomosis is fraught with the following complications:
- ureteral injury;
- ureteral edema;
- development of acute pyelonephritis;
- impaired urine outflow.
Prices and clinics
Ureterocystoanastomosis is performed in private or public clinics. The prognosis of experienced urologists regarding the operation is favorable in most cases. The course of the operation largely depends on the state of the kidney function. The average cost of the operation is 25,000 rubles. You can see the clinics and choose a suitable specialist on the website .
Схожі новини:
