Product Summary: AMA rates
Opening up of a very narrowed/ obstructed ureteric opening. Either by cold knife or laser.
Item Number: 36830, 105
Where a congenital / acquired narrowing in the ureteric opening occurs. This procedure is used to open the ureter and ease the urine flow. It can cause vesico-ureteric reflux.
Why is it done?
- Congenital narrowing of the ureteric opening in the bladder as per a Ureterocoele.
- Previous bladder surgery where the ureteric orifice was involved: ie Bladder tumour resection.
- Where conservative measures have failed: ie Stenting, Dilatation etc.
- To prevent renal function deterioration.
- Stenting or nephrostomy placement would have been done in the acute state to relief an obstructed and infected system.
How is it done?
- Patients will receive a general anaesthesia.
- Prophylactic antibiotics is given.
- The correct kidney is identified and marked while you are awake.
- This will be an endoscopic procedure.
- A Cystoscopy will be done with placement of ureteric guidewire.
- Laser will be used to cut the stricture open.
- The alternative is using an endoscopic scissors (when available).
- An Ureteric stent is left with an Indwelling Urethral catheter.
- An ureteric stent is placed for 6 weeks and an indwelling catheter overnight.
- You may be in hospital for 1-2 days.
- You may have continuous intravenous antibiotics on board.
- You may have persistent hematuria.
- The stent may be uncomfortable with pain radiating to your affected kidney every time you urinate.
- Your stent will be removed on a separate occasion in 6 weeks with aFlexible cystoscopy under Local Anaesthesia.
- A ward prescription may be issued on your discharge, for your own collection at any pharmacy.
- A follow-up appointment will be scheduled for 6 weeks to review your symptoms.
- A further follow-up may be arranged with a CT IVP to check on the end result of the ureter.
- Don’t hesitate to ask Jo if you have any queries.
- DON’T SUFFER IN SILENCE, OR YOU WILL SUFFER ALONE!
Download Information Sheet