Ureteral Reconstruction

Restoring Urinary Flow and Protecting Kidney Function

What Is Ureteral Reconstruction?

Ureteral reconstruction is a specialized surgical procedure that restores healthy urinary flow when the ureters, the tubes that carry urine from the kidneys to the bladder, become blocked, narrowed, or damaged. These obstructions can cause pain, recurrent infections, hydronephrosis, and long-term kidney deterioration if left untreated. At The Institute for Advanced Reconstruction, our surgeons perform complex reconstructive procedures designed to relieve obstruction, protect kidney function, and restore long-term comfort and confidence.

Ureteral reconstruction may involve removing a scarred or narrowed segment, reimplanting the ureter into the bladder, or rebuilding the ureter using tissue grafts or flaps, depending on the severity and location of the damage. These issues can arise from prior surgery, trauma, radiation, congenital abnormalities, or chronic inflammation.

Our team uses advanced microsurgical techniques, robotic-assisted precision, and nerve-sparing methods to ensure durable results, optimal urinary drainage, and protection of surrounding structures. As one of the few centers worldwide with extensive experience in complex, recurrent, and revision ureteral reconstruction, we achieve consistently high success rates even in the most challenging cases.

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Why Ureteral Reconstruction May Be Right for You

Ureteral reconstruction may be necessary if you have:

A blockage or narrowing (stricture) of the ureter
Reflux of urine from the bladder to the kidney (vesicoureteral reflux)
Persistent flank pain or recurrent urinary tract infections
Damage to the ureter from prior surgery, trauma, or radiation
Hydronephrosis (kidney swelling) due to obstruction

Many of our patients come to The Institute after unsuccessful stent placements, balloon dilations, or previous surgeries performed elsewhere.

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How Ureteral Reconstruction Works

Our team tailors each reconstruction to your anatomy, health, and surgical history. Most procedures are performed under general anesthesia using robotic-assisted or minimally invasive techniques.

Key steps may include:

Identification and Removal of Damaged Tissue: The surgeon removes the scarred or obstructed section of the ureter.
Reconstruction or Reimplantation: The healthy ends are reconnected, or the ureter is reattached to the bladder in a new position.
Tissue Augmentation: In complex cases, grafts or flaps (often from the bladder or bowel) are used to rebuild missing segments.
Robotic-Assisted Approaches with Stent Placement: Using robotic precision and enhanced visualization, the repair is performed with fine suturing, and a stent is placed to ensure urine drains freely during healing.

Most patients return home within a day or two and notice gradual improvement as swelling subsides.

Our Expertise in Ureteral Reconstruction

The Institute is recognized worldwide for its ability to solve the most challenging ureteral and urinary tract reconstructions. Our results are built on decades of microsurgical experience, robotic innovation, and patient-centered recovery planning.

Why Patients Choose The Institute

Advanced expertise in complex, recurrent, and post-surgical ureteral reconstruction
Minimally invasive and robotic-assisted techniques for faster recovery
Microsurgical methods to preserve surrounding tissue and nerve function
Collaboration with nephrologists and urologists for comprehensive care
Compassionate, personalized approach from consultation through recovery

Meet the Team

Our reconstructive urology specialists are experienced in restoring both function and form for patients with complex scrotal conditions. Every procedure is approached with precision, empathy, and long-term outcomes in mind.

Physician

Alex Xu

Frequently Asked Questions About Ureteral Reconstruction

Is this surgery permanent?

Yes. Our goal is long-term success with minimal recurrence, especially in patients with prior failed procedures.

What are the benefits of robotic-assisted reconstruction?

Smaller incisions, reduced blood loss, faster recovery, and improved visualization for precise tissue repair.

Will I need dialysis or kidney surgery?

In most cases, no. Timely reconstruction helps prevent further kidney damage and eliminates the need for additional interventions.

Is this covered by insurance?

Yes. Ureteral reconstruction is considered medically necessary and is typically covered by insurance.

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