Adult Ureteral Reimplantation:

Advanced Treatment for Vesicoureteral Reflux

At Z Urology, we specialize in ureteral reimplantation, an effective surgical treatment for ureteral obstruction. Our expert urologists use state-of-the-art techniques—typically using robotic surgery—to reposition the ureter and place it in a new area of the bladder. This restores urine flow to the bladder and prevents obstructive damage to the kidney.

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What is Adult Ureteral Reimplantation?

Urine is formed in the kidneys and then exits through tubes called ureters, which connect to the bladder. Obstruction or severance of the ureter can cause urine to leak out or back up, putting extra pressure on the kidney or even causing kidney damage.

Ureteral reimplantation is a surgical procedure that repositions the ureters (tubes) in the bladder.

This procedure can be done by:

Making an incision during open surgery
Laparoscopically or robotically inserting cameras through small incisions in the abdomen and/or bladder

Z Urology most commonly uses the minimally invasive robotic surgery approach because it results in less post-surgical pain, faster recovery, and greater visualization during the procedure.

What Conditions Do Ureteral Reimplantation Treat?

Adult ureteral reimplantation typically treats traumatic injuries of the ureter—the tubes that carry urine from the kidneys to the bladder. Injuries to the ureter can consist of internal or external sources.

Internal sources can include scarring from an injury like the passage of a kidney stone or from cancer treatment. External sources can be from loss of blood supply, blood clots, or radiation of the pelvis, as well as penetrating injuries like a gunshot or knife wound.

Another common external injury source can be from a compressed uterus caused by large fibroids or endometriosis. Additionally, ureteral injury can happen during routine pelvic surgery because of its proximity to the uterus or the rectum.

If left untreated, this condition can lead to kidney obstruction, infections, potential kidney damage, or kidney loss in extreme cases.

What Happens During Adult Ureteral Reimplant Treatment?

During the ureteral reimplantation surgery, our skilled urologists will:

Make necessary incisions (via open or laparoscopic/robotic-assisted surgery)
Carefully detach the ureter from its current position
Create a new tunnel in the bladder wall
Reattach the ureter in its new position, and place a ureteral stent
Ensure proper function and closure

Each patient’s procedure can vary because every individual and the severity of their condition may be different. No matter the intensity of surgery you need for ureteral reimplantation, Z Urology strives to make it as comfortable, simple, and successful as possible.

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Recovery from Urinary Reconstruction

Factors influencing recovery time include the type of surgery (laparoscopic/robotic vs. open); the patient’s age, overall health, and adherence to post-operative care instructions. We provide personalized care and support throughout your recovery journey to ensure optimal healing and outcomes.

Recovery from ureteral reimplantation typically follows a timeline:

Days 1-3: Hospital stay for monitoring and pain management.
Week 1: Rest at home and avoid strenuous activities. An increase in urination frequency and minor blood in urine are common. The foley is usually removed by the end of week 1.
Weeks 2-4: You may gradually return to normal daily activities, but avoid heavy lifting and vigorous exercise. The ureteral stent is usually removed by week 4.
Weeks 4-6: Most patients fully recover and can resume all activities when cleared by their surgeon.

Feel free to call us at (954) 714-8200 with any questions or assistance you might need during recovery.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.

I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
– Alex S.
The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
– Allison T.
"I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
– Jeffery P.
“I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

– Bill S.
“El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
– Ana L.
I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
– Jeffery P.
“Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
– Brent S.
“Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
– Britney C.
Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
– Jimmy Z.
Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
– Jose T.
Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
– Frank C.
They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
– Jeremy C.
Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
– A.D.Z.
I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
– Harvey A.
Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
– Kimaro W.

In Network with Most Insurance Plans

Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.

Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment Today

Adult ureteral obstruction can compromise your kidney health when left untreated. Contact Z Urology today to learn more about ureteral reimplantation and how we can help you achieve optimal kidney wellness!

Schedule an Appointment
or Call (954) 714-8200