| | | | | for urethral reimplantation. The evaluation of the |
| Urethral reimplantation surgery in India at Chennai, | | | | complications of uretero neocystostomy is varied |
| Mumbai and Hyderabad is done at very cheap cost | | | | based on the etiological factors such as malformations, |
| with the high quality medical healthcare facilities. | | | | gynecologic Urethral and stenos of the lower urethra |
| Developmental abnormalities of the ureter encompass | | | | and reflux and the technique used. The Cohen |
| a wide range of disorders. Ureteral anomalies are a | | | | technique has yielded the best success rate. Most of |
| common cause of morbidity in children and frequently | | | | the failures are due to stenosis of the reimplanted |
| require surgical intervention. Hospitals of Urethral | | | | urethra. Other methods for reimplantation were |
| reimplantation surgery in India approach to correct the | | | | evaluated like psoas-bladder hitch confirming that this is |
| vesico urethral reflux are the least invasive surgical | | | | a versatile procedure that suits a number of indications. |
| procedure to be proven effective over 95% of the | | | | The modified Lich Gregoire technique of extra vesical |
| time. This approach corrects the reflux condition | | | | urethral reimplantation is successful, simple to be |
| without having to open the bladder and does not | | | | performed and reproducible and associated with low |
| require the use of postoperative stents or drains. India | | | | morbidity requiring minimal hospital stay. The use of |
| has some of the best world renowned surgeons for | | | | laparoscopy in reimplantation was reviewed.Two |
| Urethral reimplantation surgery at some of the best | | | | common techniques of urethra reimplantation for |
| hospitals in India which will completely take care of | | | | kidney transplantations, the Politano-Leadbutter and |
| your health and make you feel at home | | | | the extravesical uretero-neostostomy with judicious |
| | | | | use of double J stent are also emphasized to reduced |
| Urethral reimplantation is a procedure commonly | | | | urological complications which occur in about 7-15% in |
| performed by both urologists and pediatric surgeons. | | | | most series.The incidence of urological complications |
| Although the vast majority is successful, there are | | | | after renal transplantation, although are still a source of |
| patients in whom technical considerations and/or | | | | morbidity and mortality, are not very common. |
| bladder or urethra abnormalities might mitigate against | | | | Uretero-neocystostomy with Lich Gregoire and |
| success. Reimplantation of the Urethral into a groove | | | | Politano-Leadbutter techniques were evaluated with |
| of the bladder mucosa has been used to simplify the | | | | the frequent complications being early urethral |
| procedure of reimplantation and to over come | | | | obstruction (3.6%), obstruction (1.8%), lithiasis (1.8%) |
| problems of trabeculated bladder by obviating the | | | | and urinary extravasation. The use of laparoscopy in |
| creation of sub-mucosal tunnel. Anti-reflux urethral | | | | reimplantation was reviewed. Two common |
| reimplantation may be performed by a variety of | | | | techniques of Urethral reimplantation for kidney |
| techniques with consistently satisfactory results. | | | | transplantations, the Politano-Leadbutter and the |
| Complications such as persistent reflux post-surgery | | | | extra vesical uretero-neostostomy with judicious |
| and urethra vesical obstruction may be encountered. | | | | use of double Urethral lesions due to endometriosis |
| The Politano and Leadbutter anti-reflux | | | | and gynecological surgery are common findings in |
| uretero-neocystostomy is the most accepted method | | | | urology. |