When necessary, UW Health pediatric urologists in Madison, Wisconsin, treat vesicoureteral reflux (VUR) using surgical treatment. One type of surgical procedure is ureteral reimplantation.
Ureteral reimplantation surgery involves a small bikini incision in the lower abdomen. The bladder is then opened and the ureters are repositioned and tunneled through the bladder wall. This creates a functioning one-way valve mechanism. The success rate in routine ureteral reimplantation surgery is approximately 95 to 98 percent. It requires a one to three night hospital stay, a post-op appointment, prophylactic antibiotics for three months and a follow-up renal and bladder ultrasound following surgery.
In some cases we will perform a Voiding Cystourethrogram (VCUG) approximately three months after surgery to confirm the reflux has been resolved.