© Copyright 2026 American Medical Association. All rights reserved.
Ureteroureterostomy is a surgical procedure that involves the connection of two segments of the same ureter, which is a tube that carries urine from the kidney to the bladder. This procedure is specifically indicated for conditions such as ureteral stenosis, which is a narrowing of the ureter, obstruction, or injury to the ureter. The goal of ureteroureterostomy is to restore normal urinary flow by bypassing the affected area of the ureter. During the procedure, the surgeon carefully exposes the ureter and identifies the narrowed or injured section. The ureter is then meticulously dissected from the surrounding tissues and mobilized using soft rubber loops to ensure that the blood supply and periureteral tissues are preserved. After excising the damaged portion, a ureteral catheter is inserted to facilitate drainage from the renal pelvis to the bladder. The two healthy segments of the ureter are then anastomosed, or surgically joined, over the catheter. To ensure proper healing and drainage, a drain is placed in the abdomen near the anastomosis site, and the surgical wound is subsequently closed in layers. This procedure is critical for patients who suffer from significant ureteral issues, as it aims to restore the normal function of the urinary system.
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