Open Ureteral Reimplantation
(Open Ureteroneocystostomy with Reimplantation)
Open Yur-e-t-er-on-e-o-si-tost-o-me with Re-im-plan-tay-shun
by Cynthia M. Johnson, MA
Ureteral reimplantation is surgery to reposition a ureter. The ureter is a tube between the kidney and the bladder. It allows urine to pass down to the bladder.
Reasons for Procedure
Some ureters are not positioned correctly in the bladder. This can make it difficult for urine to flow into the bladder. Ureteral reimplantation may be done to reposition ureters that:
Problems from the test are rare. However, all procedures have some risk. Your doctor will review potential problems, like:
Talk to the doctor about these risks before the procedure.
What to Expect
Prior to Procedure
General anesthesia may be used. It will be given through an IV. You will be asleep through the procedure.
A spinal block may be used. This is an anesthesia injected into the spine. It will block pain below your waist.
Description of the Procedure
An incision will be made in the abdomen. A series of incisions and stitches will be used to realign the ureter. The method chosen will be based on your specific condition. The incision in the abdomen will be closed with dissolvable stitches. A bandage will be placed over the incision.
A tube will be placed into the bladder. This will allow urine to drain while your bladder heals.
Immediately After Procedure
After the operation, you will be taken to the recovery room for observation.
How Long Will It Take?
2 to 3 hours
How Much Will It Hurt?
Anesthesia prevents pain during surgery. There may be some pain as you recover. You may also have some cramping in your bladder. The doctor will give you medication to help manage any discomfort.
Average Hospital Stay
The usual length of stay is 2 to 4 days. You may need to stay longer if there are any complications.
At the Hospital
Certain physical activities will be limited in the first few weeks such as heavy lifting or sexual activity.
Call Your Doctor
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Urology Care Foundation
Canadian Urological Association
Ureteral reimplant. Children’s Hospitals and Clinics of Minnesota website. Available at: https://www.childrensmn.org/references/pfs/surg/ureteral-reimplant.pdf. Updated October 2013. Accessed March 7, 2018.
Ureteral reimplant surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: https://www.ucsfbenioffchildrens.org/education/ureteral_reimplant_surgery/index.html. Accessed March 7, 2018.
Ureteral reimplantation surgery. Children’s Hospital of Pittsburgh website. Available at:
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Accessed March 7, 2018.
Vesicoureteral reflux. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated October 2, 2017. Accessed March 7, 2018.
Vesicoureteral reflux. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at:
...(Click grey area to select URL)
Updated June 2012. Accessed March 7, 2018.
Last reviewed March 2018 by EBSCO Medical Review Board Adrienne Carmack, MD
Last Updated: 4/29/2014
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