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Ureteroneocystostomy (Ureteral Reimplantation)

Surgery to reattach the ureter to the bladder.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Ureteroneocystostomy (Ureteral Reimplantation)?

Ureteroneocystostomy is reattachment of the ureter to the bladder by creating a new antireflux tunnel. It is performed for vesicoureteral reflux (VUR), distal ureteral stricture, iatrogenic ureteral injury, and distal ureteral tumors.

Techniques include Cohen (cross-trigonal, in children), Lich-Gregoir (extravesical, in adults), Leadbetter-Politano (intravesical), and Boari flap (for long ureteral defects). The robotic approach is becoming increasingly common.

In children, surgical success rate for VUR exceeds 95%. Endoscopic subureteric injection (STING/HIT - Deflux) is a less invasive alternative.

Symptoms

Vesicoureteral reflux (grade IV-V or recurrent infection)
Distal ureteral stricture (congenital or acquired)
Iatrogenic ureteral injury (during gynecologic surgery)
Distal ureteral tumor (distal ureterectomy + reimplantation)
Ureteral complications in transplant kidney

Risk Factors

Urinary infection
Anastomotic stricture (1-3%)
Persistent or new-onset reflux
Bleeding and hematoma
Transient bladder spasms

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If high-grade VUR and recurrent urinary infections are present
  • In suspected ureteral injury (urinary leakage after surgery)
  • If postoperative fever or flank pain develops
  • For long-term renal function follow-up

Treatment Methods

01
Robotic/laparoscopic ureteroneocystostomy (adult)
02
Cohen or Lich-Gregoir technique
03
Boari flap (for long distal ureteral defects)
04
Psoas hitch (fixation of bladder to psoas, additional length)
05
DJ stent (anastomosis protection, 4-6 weeks)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.