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Bladder Dysfunction After Ureteral Reimplantation

  • Neurogenic Bladder (C Powell, Section Editor)
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Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

In this review, current literature on bladder dysfunction following ureteral reimplantation of any kind was reviewed. Topics include the neuroanatomy of the vesicoureteral junction and nerve-sparing ureteral reimplantation, postoperative urinary retention, treatment of urinary retention, risk factors for urinary retention, and other forms of bladder dysfunction following ureteral reimplantation.

Recent Findings

Following attempts at nerve-sparing extravesical ureteral reimplantation, the incidence of postoperative urinary retention has ranged from 0 to 15% for combined unilateral and bilateral reimplantation and 0% to 37.5% for bilateral extravesical reimplants.

Summary

Postoperative bladder dysfunction has been most commonly observed following bilateral extravesical ureteral reimplantation but can occur following any ureteral reimplantation. Urinary retention is the most well characterized complication but occurs at highly variable rates. History of bowel bladder dysfunction, bilateral ureteral reimplantation, and prolonged operative time are risk factors for postoperative urinary retention. While rare, urinary retention is most commonly transient and resolves by 6 weeks postoperatively but can persist beyond two months postoperatively. There are rare reports in the literature of significantly prolonged urinary retention following ureteral reimplantation requiring lower urinary tract reconstruction to address the urinary retention.

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Abbreviations

VUR:

Vesicoureteral reflux

RALUR:

Robotic-assisted laparoscopic ureteric reimplantation

LEVUR:

Laparoscopic extravesical ureteric reimplantation

MIS:

Minimally invasive surgery

IC:

Indwelling catheter

CIC:

Clean intermittent catheterization

SC:

Suprapubic catheterization

BBD:

Bowel bladder dysfunction

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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  1. Department of Urology, Riley Hospital for Children, Indiana University School of Medicine, 705 Riley Hospital Drive, Suite 4230, Indianapolis, IN, 46202, USA

    Robert M. Saldivar, Ashley W. Johnston & Joshua D. Roth

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  1. Robert M. Saldivar
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Saldivar, R.M., Johnston, A.W. & Roth, J.D. Bladder Dysfunction After Ureteral Reimplantation. Curr Bladder Dysfunct Rep 17, 169–178 (2022). https://doi.org/10.1007/s11884-022-00658-3

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