Ureteric reimplant (also called ureteral reimplantation) is a surgical procedure used to treat blockages or abnormalities in the lower ureter by reattaching the ureter to a healthy part of the bladder.
Performed by Dr. Ajinkya Kasekar, this procedure restores normal urine flow, relieves pain and swelling, and prevents long-term kidney damage—using advanced laparoscopic, robotic, or open techniques.

What Is Ureteric Reimplantation?

The lower ureter can become narrowed or blocked due to scar tissue, stones, infection, injury, or congenital abnormalities.
This prevents urine from flowing smoothly from the kidney to the bladder, leading to:

• Hydronephrosis (swollen kidney)

• Recurrent infections

• Pain

• Kidney function decline

Ureteric reimplantation surgically bypasses the blockage by inserting the ureter into a new, healthy site on the bladder, restoring proper drainage.

Who Needs Ureteric Reimplant?

This procedure is recommended for:

• Lower ureteric stricture

• Injured or damaged ureter

• Blockage after stone removal surgery

• Ureteric obstruction due to infection or trauma

• Post-radiation strictures

• Congenital defects (common in children)

• Vesicoureteral reflux (VUR) in select cases

Early treatment prevents permanent kidney damage.

Symptoms of Lower Ureteric Obstruction

• Persistent flank or lower abdominal pain

• Difficulty in passing urine

• Recurrent urinary infections

• Fever with chills (in severe cases)

• Blood in urine

• Hydronephrosis on ultrasound

• Reduced kidney function

How Ureteric Reimplant Is Performed

Depending on the patient’s condition, Dr. Ajinkya Kasekar performs the surgery using:

1. Laparoscopic Reimplant

• Small keyhole incisions

• Minimal pain

• Quick recovery

• Excellent cosmetic results

2. Robotic-Assisted Reimplant

• Superior precision

• Ideal for complex strictures

• Faster and safer reconstruction

3. Open Reimplantation

• Used in rare, complicated cases or when anatomy demands it

Steps of the Procedure

1. The narrowed or damaged portion of the ureter is identified.

2. If needed, the diseased segment is removed.

3. The ureter is reattached to a new, healthy location on the bladder wall.

4. A DJ stent is placed to support healing.

5. The bladder is reconstructed to prevent reflux and ensure proper flow.

Surgery time: 1.5–3 hours, depending on complexity.

Advanced Variations (Used When Needed)

Psoas Hitch

The bladder is mobilized slightly upward to bridge the gap.

Boari Flap

A small bladder flap is created to reconstruct long ureteric defects.

These techniques allow reconstruction even when long segments of the ureter are damaged.

Benefits of Ureteric Reimplant

• Restores normal urine drainage

• Relieves pain and hydronephrosis

• Prevents recurrent UTIs

• Protects long-term kidney function

• Long-lasting, durable results

• Minimal recurrence when performed precisely

Recovery After Surgery

Most patients:

• Stay in the hospital for 1–3 days

• Resume routine activities within 1–2 weeks (laparoscopic/robotic)

• Require DJ stent removal after 4–6 weeks

• Undergo follow-up imaging to ensure proper healing

Mild discomfort or frequency during urination is normal initially.

Why Choose Dr. Ajinkya Kasekar?

• Expertise in laparoscopic, robotic, and open ureteric reconstruction

• High success rates with minimal complications

• Experience in complex and recurrent ureteric strictures

• Precision-based approach with modern surgical techniques

• Compassionate, patient-centered care

• Strong emphasis on protecting long-term kidney function

Book a Consultation

If you have been diagnosed with a lower ureteric stricture or obstruction, ureteric reimplant provides a safe and definitive solution.
Consult Dr. Ajinkya Kasekar for expert evaluation and advanced reconstructive surgery.