Sunrise Children's Hospital is one of the only hospitals in Nevada to perform Pediatric Ureteral Reimplantation Surgery using the da Vinci® Robotic Surgical System. The minimization of trauma, incision size and the resulting scarring are significant advantages provided by a less invasive surgical approach. The da Vinci System provides the further advantages of a motion scaling and tremor reduction that are critical in work in and around the small anatomical structures of infants and children.

Children's hospitals throughout the world are successfully integrating robotics into their practice, allowing them to perform better surgery and extend the benefits of minimally invasive procedures to children and their families.

Patient Benefits

  • Shorter hospital stay
  • Less post-operative pain
  • Less risk of infection
  • Less blood loss and need for transfusions
  • Less scarring and improved cosmesis
  • Faster recovery and quicker return to normal activities

Fast Facts About Ureteral Reimplantation Surgery

  • Ureteral Reimplantation is a surgery to fix the tubes that connect the bladder to the kidneys.
  • The surgery changes the position of the tubes at the point where they join the bladder to stop urine from backing up into the kidneys.
  • Your child's surgery will be done under general anesthesia, which means that he or she will be sound asleep during the surgery.
  • In addition to the general anesthesia, your child may receive caudal anesthesia, which will give pain relief in the area below the waist.
  • A pediatric urology surgeon—a doctor who specializes in conditions of the urinary tracts and reproductive organs of children—will do your child's Ureteral Reimplantation surgery.
  • Your child will stay in the hospital for 1 to 2 days after this surgery.

What is Ureteral Reimplantation?

Ureteral Reimplantation is used to treat reflux (REE-flux), a condition in which urine from the bladder is able to flow back up into the kidneys through the tubes that connect the kidneys with the bladder.

  • When these tubes, called the ureters, are working properly, urine flows only one way out through them from the kidneys and into the bladder so that it can leave the body. The ureters connect to the bladder through a tunnel that acts as a valve to keep urine from flowing backward.
  • Sometimes, a ureter has a bad connection to the bladder wall. When there is not enough of the tunnel at the connection point, reflux will occur. If left untreated, reflux can cause scarring of the kidneys and permanent kidney damage.
  • When reflux is not expected to go away with time, or is causing kidney damage, surgery is needed.
  • Surgery to correct reflux consists of changing the way the ureter connects to the bladder by creating a new tunnel into the bladder. The doctor "reimplants" the ureter to fix its connection to the bladder.