Dr Jo Schoeman
Urological Surgeon

        

Ureteric Surgery

Endoscopic vesico-ureteric reflux surgery (STING)

Indicated for moderate vesico-ureteric reflux. It is a minimally invasive procedure performed endoscopically. A synthetic material (Macroplastique)) is injected at the ureteric opening to bulk it up, thus preventing reflux of urine back to the kidney.

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Laparoscopic / Open PUJ repair

A congenital or acquired narrowing in the ureteric pelvis junction UPJ. This narrowing is excised with a reconnection to the normal parts of the anatomy. There are several techniques described of which I mostly perform a dismembered pyeloplasty.

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Laser Endo-pyelotomy

An endoscopic technique of incising a short stricture with a laser. A stent remains 6 weeks post operatively.

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Ureteric Injury

Infrequently ureteric injuries can occur with other abdominal surgery ie. Hysterectomy, Ovarian mass resection, Bowel resections, Sacro Colpo-pexy. If the injury is below the pelvic brim then a re-implation is recommended with a Boari flap, otherwise a primary end-to-end anastomosis. A ureteric stent is left for 6 weeks.

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Ureteric Reimplantation

Mainly a procedure for paediatric urology to correct grade 4-5 vesicoureteric reflux.

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