Robot Assisted Laparoscopic Ureter Reimplantation

Medically reviewed by Drugs.com. Last updated on Jun 30, 2025.

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What do I need to know about robot assisted laparoscopic ureter reimplantation (RALUR)?

RALUR is surgery to fix the position of the ureters through small incisions in your child's abdomen. RALUR is done with a machine that is controlled by your child's surgeon. The machine has mechanical arms that use small tools to help perform the surgery.

How do I help prepare my child for surgery?

• Your child's surgeon will tell you how to prepare your child. The surgeon may tell you not to give your child anything to eat or drink after midnight on the day of the surgery.
• Tell your child's surgeon about all medicines your child currently takes. The surgeon will tell you if your child needs to stop any medicine for the surgery, and when to stop. The surgeon will tell you which medicines to give or not give your child on the day of surgery.
• Tell the surgeon about any allergies your child has, including to anesthesia or medicines.
• Your child's surgeon will tell you if your child needs any tests before surgery, and when to have them.

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What will happen during surgery?

• Your child will be given general anesthesia to keep him or her asleep and free from pain during surgery. A urinary catheter will be inserted while your child is asleep. This helps drain urine from your child's bladder.
• The surgeon will make 3 small incisions in your child's abdomen. Surgical tools are attached to the arms of the robot. The arms will be used to place a laparoscope and other tools inside your child's abdomen. A laparoscope is a long, thin tube with a light and camera on the end.
• The surgeon will guide the robotic arms and use small tools to detach the ureter from the bladder. A tunnel will be made into the muscle of the bladder. The ureter will be reimplanted into the tunnel and sewn into place with stitches. The abdominal incisions will be closed with stitches or skin adhesive tape and covered with a bandage.

What should my child expect after RALUR?

• Your child will be taken to a recovery room until he or she wakes up. Healthcare providers will monitor your child for any problems. Your child will then be taken to his or her hospital room. Your child will need to stay in the hospital for at least 1 night. Your child may need to stay longer depending on his or her recovery.
• The urinary catheter will stay in place until your child's ureters work properly. Your child may be sent home with the urinary catheter in place. Healthcare providers will teach you how to care for the catheter at home.

What are the risks of RALUR?

Your child may bleed more than expected or develop an infection. The ureters may not connect properly to the bladder or may leak urine. The surgeon may need to change the surgery from laparoscopic to open. This means your child will need 1 large incision. The kidneys, bladder, or other nearby organs may be damaged. Your child may need another surgery to fix organ damage.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's healthcare providers to decide what care you want for your child. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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