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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Explain The Prognosis Of Ureteral Reconstruction Surgery

ureteral reconstruction
sir, i. am 39 years male , I was suffering from left ureteric colic for over last 4 years. after ultrasound scan and IVP it was diagnosed as Ureterocele with multiple UV Junction calculi with hydroureter & hydronephrosis. Last month I have been operated with medial incision on ureterocele. The stones have been removed & pcs & left kidney is decompressed properly after that. I have been adviced MCU after 2 months for VU reflux & proposed a ureteral reconstruction surgery. Can you advise me what the best kind of modalities are available to reduce the risk of surgery & post - operative complications, and stay in hospital. Please explain me the prognosis.
Thank you !
Tue, 20 Oct 2015
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Urologist 's  Response
Hello
Thanks for query .

You had been diagnosed to have Ureterocele on left side and was successfully operated and deroofing of the Ureterocele was done which helped to decompress the renal unit .

In majority of adult male patients deroofing is not followed by developing VU Reflux and no surgery of re implantation is required .However if there is reflux as detected on MCU the surgery is of re implantation of ureter in bladder gives very good results and offers permanent cure .

It is an open surgery for which you need to be hospitalized for 4-5 days .

Dr.Patil.
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Explain The Prognosis Of Ureteral Reconstruction Surgery

Hello Thanks for query . You had been diagnosed to have Ureterocele on left side and was successfully operated and deroofing of the Ureterocele was done which helped to decompress the renal unit . In majority of adult male patients deroofing is not followed by developing VU Reflux and no surgery of re implantation is required .However if there is reflux as detected on MCU the surgery is of re implantation of ureter in bladder gives very good results and offers permanent cure . It is an open surgery for which you need to be hospitalized for 4-5 days . Dr.Patil.