Ureteroneocystostomy Ureteral Reimplantation

If enough mobilization cannot be achieved and the injury is in the lower middle or distal third of the ureter, then ureteral reimplantation becomes necessary. Direct ureteral reimplantation such as that performed by urologists for congenital reflux is uncommonly performed to repair defects from injury except for those in the most distal 3 to 4 cm, as the ureter enters the bladder.6 We prefer to perform a nonrefluxing anastomosis. There are no definitive studies to show that nonrefluxing anastomosis decreases the risk of postoperative infection or increases the risk of renal deterioration in adults with normal bladders.

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