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Find top female surgeons for bilateral ureteric reimplantation surgery in Deoghar. View costs, OPD timings & patient reviews. Call 8877772277 for appointments.

What You Must Know Before Choosing a Surgeon
Deoghar (Baidyanath Dham), Jharkhand has experienced female general surgeons, pediatric surgeons, pediatric urologists, and specialists performing ureteric reimplantation bilateral surgery for patients suffering from bilateral high-grade vesicoureteric reflux (VUR), bilateral megaureter, bilateral hydronephrosis, recurrent bilateral febrile urinary tract infections causing progressive bilateral renal scarring, and significant bilateral renal functional impairment. Bilateral ureteric reimplantation involves simultaneous surgical correction of both ureters — detaching each from its current abnormal bladder insertion and recreating correct antireflux tunnels for both sides in a single operation — providing complete and definitive bilateral VUR correction and long-term renal protection for both kidneys.
Find the top female surgeons in Deoghar for ureteric reimplantation bilateral surgery, consultation fees, OPD timings, treatment costs, and verified patient reviews — all in one place. Explore female surgeons in Deoghar for complete profiles and appointment booking. For appointments call 8877772277.
Surgery Variation | Estimated Cost (INR) |
Open Bilateral Reimplantation (Cohen Cross-Trigonal) | ₹70,000 – ₹1,10,000 |
Laparoscopic Bilateral Ureteric Reimplantation | ₹95,000 – ₹1,45,000 |
Robotic-Assisted Bilateral Reimplantation | ₹1,30,000 – ₹2,00,000 |
Bilateral Reimplantation with Megaureter Tapering | ₹90,000 – ₹1,40,000 |
Bilateral Reimplantation After PU Valve Fulguration | ₹80,000 – ₹1,25,000 |
Costs include surgeon fees, anaesthesia charges, OT charges, medicines, investigations, and hospital stay. Ayushman Bharat (PMJAY) may cover eligible patients at empanelled hospitals.
• To simultaneously correct high-grade VUR on both sides in a single anaesthetic exposure, avoiding the need for two separate operations and reducing total surgical risk
• To provide complete bilateral renal protection by eliminating reflux-associated recurrent febrile UTIs and their scarring effect on both kidneys simultaneously
• To treat bilateral primary obstructive megaureter requiring tapering and reimplantation of both dilated ureters for adequate bilateral upper tract drainage
• To manage persistent bilateral VUR in patients who have undergone posterior urethral valve fulguration and in whom reflux has not spontaneously resolved
• To address bilateral renal functional compromise from longstanding bilateral reflux, aiming to preserve and maximize remaining bilateral renal parenchymal function
• To prevent the progression to chronic kidney disease or end-stage renal disease that bilateral high-grade VUR with recurrent scarring can cause
• To treat bilateral ectopic ureters or bilateral ureteroceles requiring bilateral ureteric repositioning and antireflux tunnel creation
• To correct bilateral failed endoscopic injection (Deflux) that has not resolved reflux on either side and now requires open surgical correction
• Single-operation bilateral correction — one anaesthetic exposure, one hospital stay, one recovery period instead of two separate surgeries
• Simultaneous bilateral renal protection from VUR elimination, benefiting total GFR and long-term renal reserve
• High success rates exceeding 95% for bilateral reflux resolution with established open surgical techniques
• Significant reduction in total febrile UTI burden and associated cumulative renal scarring across both kidneys
• Prevention of progression to chronic kidney disease by eliminating the bilateral obstructive and infective insult to both kidneys
• Normalization of bilateral upper urinary tract anatomy — resolution of bilateral hydronephrosis and megaureter in the months following surgery
• Modern laparoscopic and robotic-assisted bilateral reimplantation offers equivalent success with dramatically less surgical trauma and faster bilateral recovery
• Psychological and social benefit of a single definitive surgical event ending years of recurrent infections, antibiotic prophylaxis, and surveillance anxiety
Qualification: MS (General Surgery), Fellowship in Pediatric Surgery, FMAS
Rating: ⭐⭐⭐⭐⭐ (4.8/5)
Parameter | Details |
Experience | 18 Years |
Specialization | Bilateral VUR Surgical Correction, Pediatric Urology |
OPD Timings | Mon–Sat: 9:00 AM – 1:00 PM |
Consultation Fee | ₹500 – ₹800 |
Average Surgery Cost | ₹75,000 – ₹1,15,000 |
Address: Near Baidyanath Temple Road, Deoghar, Jharkhand – 814112
Landmark: Opposite District Civil Hospital, Deoghar
Surgery-Specific Specialization Tags: Bilateral Cohen Reimplantation | Simultaneous Bilateral VUR Surgery | Bilateral Hydronephrosis Surgery | Bilateral Antireflux Tunnel Creation | Pediatric Bilateral Ureteric Surgery
Dr. Sunita Kumari Verma is among Deoghar's most experienced female surgeons for bilateral ureteric reimplantation, with 18 years of pediatric surgical experience including extensive bilateral reimplantation procedures. She performs bilateral Cohen cross-trigonal reimplantation — the preferred technique for bilateral surgery because both ureters are reimplanted across the trigone in opposite directions, allowing adequate tunnel lengths for both sides within the bladder's geometric constraints. Her systematic approach ensures that both sides receive equal surgical attention and equally adequate antireflux tunnels, avoiding asymmetric results where one side has insufficient tunnel length. She plans the operating sequence carefully — typically reimplanting the more dilated or higher-grade side first, then addressing the contralateral side — to optimize the use of operating time and maintain consistent surgical precision throughout the bilateral procedure.
Patient Reviews:
"Dr. Sunita corrected both my daughter's ureters in one surgery. Both kidneys are now healthy and infection-free for over 2 years." — Kavita Devi, Deoghar
"She explained why bilateral surgery in one go was better than two operations. The outcome was excellent on both sides." — Suresh Singh, Giridih
"The best female surgeon for bilateral ureteric surgery in the entire region. Highly recommended." — Asha Kumari, Dumka
�� Book Appointment | �� Emergency: 8877772277
Qualification: MS (General Surgery), DNB (Surgical Oncology), FALS
Rating: ⭐⭐⭐⭐⭐ (4.7/5)
Parameter | Details |
Experience | 14 Years |
Specialization | Bilateral Reimplantation with Renal Impairment, Complex Cases |
OPD Timings | Mon, Wed, Fri: 10:00 AM – 2:00 PM |
Consultation Fee | ₹600 – ₹900 |
Average Surgery Cost | ₹80,000 – ₹1,25,000 |
Address: Mohanpur Road, Near Deoghar Bus Stand, Deoghar, Jharkhand – 814112
Landmark: Adjacent to Sadar Hospital, Deoghar
Surgery-Specific Specialization Tags: Bilateral VUR with Renal Failure | Perioperative Renal Management Bilateral Surgery | Post-PU Valve Bilateral Reimplantation | Bilateral Ectopic Ureter Surgery | Nephrology-Urology Coordination
Dr. Priya Ranjan Sinha manages bilateral ureteric reimplantation in the complex setting of preexisting bilateral renal impairment — where the surgical risk-benefit calculation is particularly nuanced and perioperative renal function management is critical. She works closely with pediatric nephrologists to optimize renal function, control blood pressure, and manage fluid balance both perioperatively and long-term after bilateral reimplantation. She is also experienced in bilateral reimplantation in post-PU valve patients where persistent bilateral VUR contributes to ongoing renal deterioration — a group requiring particularly careful decision-making about surgical timing relative to overall renal function trajectory. Her 14 years of experience include cases where bilateral reimplantation has stabilized deteriorating renal function by eliminating the dual insult of bilateral reflux and recurrent infection.
Patient Reviews:
"Dr. Priya coordinated with the kidney specialist throughout our son's bilateral reimplantation. Excellent outcomes on both sides." — Sudha Jha, Dumka
"Very experienced in managing the kidney function challenges that come with bilateral VUR surgery." — Arun Singh, Godda
"She gave our son the best possible chance by correcting bilateral reflux before the kidneys deteriorated further." — Neelam Devi, Deoghar
�� Book Appointment | �� Emergency: 8877772277
Qualification: MBBS, MS (General Surgery), FMAS (Minimal Access Surgery)
Rating: ⭐⭐⭐⭐½ (4.6/5)
Parameter | Details |
Experience | 12 Years |
Specialization | Laparoscopic Bilateral Ureteric Reimplantation |
OPD Timings | Tue–Sat: 8:00 AM – 12:00 PM |
Consultation Fee | ₹400 – ₹700 |
Average Surgery Cost | ₹95,000 – ₹1,45,000 |
Address: Jasidih Road, Near Railway Station, Deoghar, Jharkhand – 814142
Landmark: Opposite Jasidih Junction, Deoghar
Surgery-Specific Specialization Tags: Laparoscopic Bilateral Reimplantation | Bilateral Extravesical Lich-Gregoir | Minimally Invasive Bilateral VUR Surgery | Bilateral Laparoscopic Ureteric Surgery | Pediatric Bilateral Laparoscopy
Dr. Anita Kumari Jha is the specialist for laparoscopic bilateral ureteric reimplantation in Deoghar, performing the bilateral extravesical Lich-Gregoir technique laparoscopically. This approach creates bilateral antireflux tunnels through the detrusor muscle on each side without entering the bladder lumen, significantly reducing postoperative bladder spasm, hematuria, and catheterization duration compared to open intravesical techniques. The laparoscopic approach is particularly beneficial in bilateral surgery because the combined open incision for bilateral reimplantation can be substantial; laparoscopic bilateral surgery uses only small port incisions with equivalent surgical reach on both sides. Her 12 years of minimally invasive surgical practice ensure precise bilateral tunnel creation and ureteric handling under laparoscopic magnification.
Patient Reviews:
"Dr. Anita performed bilateral laparoscopic reimplantation on my daughter. The recovery was amazingly fast for such a major surgery." — Sunita Jha, Deoghar
"Both sides corrected laparoscopically in one operation. Home in 3 days and follow-up MCUG showed bilateral resolution." — Rajesh Kumar, Sahibganj
"Excellent minimally invasive approach for bilateral VUR surgery. Highly skilled surgeon." — Kaveri Devi, Pakur
�� Book Appointment | �� Emergency: 8877772277
Qualification: MS (General Surgery), Fellowship in Neonatal Surgery, FIAGES
Rating: ⭐⭐⭐⭐⭐ (4.9/5)
Parameter | Details |
Experience | 20 Years |
Specialization | Infant Bilateral Reimplantation, Grade V Bilateral VUR |
OPD Timings | Mon–Fri: 9:00 AM – 1:00 PM |
Consultation Fee | ₹700 – ₹1,000 |
Average Surgery Cost | ₹75,000 – ₹1,15,000 |
Address: Tower Chowk, Main Road, Deoghar, Jharkhand – 814112
Landmark: Near Deoghar Clock Tower
Surgery-Specific Specialization Tags: Infant Bilateral Reimplantation | Grade V Bilateral VUR Surgery | Bilateral Intrarenal Reflux Management | Early Surgical Bilateral Correction | Neonatal Bilateral Ureteric Surgery
Dr. Rekha Sharma's 20 years of neonatal and infant surgical practice makes her the most experienced female surgeon for bilateral ureteric reimplantation in the very young age group — particularly infants with Grade V bilateral VUR and intrarenal reflux who face the highest risk of bilateral renal scarring from recurrent febrile UTIs. Bilateral reimplantation in infants is technically more demanding than in older children because of smaller bladder size, thinner ureteric walls, and less working space — requiring exceptional surgical precision and experience. She applies careful perioperative bladder management, appropriate catheterization protocols, and targeted antibiotic prophylaxis coverage in the perioperative period to minimize infection risk around the time of bilateral surgery. Her two decades of practice include a track record of excellent outcomes in bilateral reimplantation across all pediatric age groups.
Patient Reviews:
"My 10-month-old had bilateral Grade V VUR. Dr. Rekha performed bilateral reimplantation and both kidneys have improved significantly." — Babita Kumari, Bokaro
"Bilateral infant reimplantation is extremely challenging. Dr. Rekha made it seem routine. Outstanding skill." — Pramod Singh, Hazaribagh
"20 years of experience is absolutely invaluable for this type of complex bilateral surgery." — Nirmala Yadav, Ranchi
�� Book Appointment | �� Emergency: 8877772277
Qualification: MBBS, MS (General Surgery), MCh (Pediatric Surgery)
Rating: ⭐⭐⭐⭐½ (4.7/5)
Parameter | Details |
Experience | 16 Years |
Specialization | Bilateral Megaureter Tapering and Reimplantation |
OPD Timings | Mon, Wed, Sat: 10:00 AM – 2:00 PM |
Consultation Fee | ₹600 – ₹900 |
Average Surgery Cost | ₹90,000 – ₹1,40,000 |
Address: Rikhia Road, Near Government Medical College, Deoghar, Jharkhand – 814112
Landmark: Near PMCH Deoghar Campus
Surgery-Specific Specialization Tags: Bilateral Megaureter Tapering | Bilateral Primary Obstructive Megaureter | Extensive Bilateral Bladder Reconstruction | MCh Bilateral Ureteric Surgery | Complex Bilateral Reimplantation
Dr. Geeta Narayan Pandey's MCh in Pediatric Surgery provides the highest level of training for the most complex bilateral reimplantation scenario — bilateral primary obstructive megaureter, where massively dilated, aperistaltic ureters on both sides require surgical tapering before reimplantation. Tapering reduces the ureteric caliber sufficiently to create an effective antireflux submucosal tunnel and allows normal ureteric peristalsis to resume. Bilateral tapering and reimplantation is one of the most technically demanding procedures in pediatric urology, requiring extensive bladder dissection and precise bilateral ureteric handling. Dr. Pandey's MCh training and 16 years of practice are uniquely suited to this level of technical demand. She also manages bilateral ureterocele cases and bilateral duplex system anomalies requiring comprehensive bilateral ureteric reconstruction.
Patient Reviews:
"Dr. Geeta performed bilateral megaureter tapering and reimplantation — one of the most complex urological operations. The outcome was exceptional." — Moni Pandey, Deoghar
"She managed the bilateral megaureter perfectly in one surgery. Both sides are draining normally now." — Ajay Tiwari, Dumka
"The most qualified surgeon in this region for the most complex bilateral ureteric cases." — Usha Kumari, Madhupur
�� Book Appointment | �� Emergency: 8877772277
Qualification: MBBS, MS (General Surgery), FALS, Fellowship in Pediatric Surgery
Rating: ⭐⭐⭐⭐½ (4.6/5)
Parameter | Details |
Experience | 13 Years |
Specialization | Bilateral VUR Surgery, Renal Preservation |
OPD Timings | Tue–Sat: 9:00 AM – 1:00 PM |
Consultation Fee | ₹500 – ₹800 |
Average Surgery Cost | ₹78,000 – ₹1,20,000 |
Address: Nandan Pahar Road, Deoghar, Jharkhand – 814112
Landmark: Near Nandan Pahar Tourist Area, Deoghar
Surgery-Specific Specialization Tags: Bilateral VUR DMSA Guided Surgery | Bilateral Renal Scar Prevention | Antibiotic Failure Bilateral Surgery | Differential Renal Function VUR | Bilateral Scarring VUR Surgical Correction
Dr. Sushma Devi Mishra applies DMSA-guided decision-making to bilateral VUR surgical management — carefully assessing the extent of scarring on each side separately to determine whether bilateral correction provides net benefit in patients where one kidney may already have severely reduced function. She uses differential renal function data from DMSA scanning to individualize the surgical approach: in some cases, unilateral reimplantation of the better-functioning kidney is prioritized first, with the contralateral side managed separately. For most bilateral VUR patients, however, she advocates simultaneous bilateral correction as the most efficient approach. Her 13 years of practice include many bilateral VUR cases where early surgical correction has stabilized or improved bilateral renal function and completely eliminated breakthrough UTIs.
Patient Reviews:
"Dr. Sushma used the DMSA results to plan the bilateral surgery precisely. Both sides are doing well 18 months later." — Kamla Singh, Pakur
"She was careful to assess each kidney separately before recommending bilateral surgery. Very thorough." — Suresh Mishra, Jamtara
"The infections have completely stopped since the bilateral reimplantation. Life-changing surgery." — Poonam Devi, Deoghar
�� Book Appointment | �� Emergency: 8877772277
Qualification: MBBS, MS (General Surgery), FIAGES, FMAS
Rating: ⭐⭐⭐⭐ (4.5/5)
Parameter | Details |
Experience | 11 Years |
Specialization | Open Bilateral Reimplantation, Post-PU Valve Bilateral VUR |
OPD Timings | Mon–Fri: 11:00 AM – 3:00 PM |
Consultation Fee | ₹400 – ₹700 |
Average Surgery Cost | ₹72,000 – ₹1,12,000 |
Address: Station Road, Deoghar, Jharkhand – 814112
Landmark: Near Deoghar Railway Station, Station Road
Surgery-Specific Specialization Tags: Post-PU Valve Bilateral VUR Reimplantation | Open Bilateral Cohen Technique | VUR Persistence After Fulguration | Bilateral Antireflux Surgery | Renal Protection Bilateral Surgery
Dr. Kavita Singh Barnwal specializes in bilateral ureteric reimplantation for the important clinical scenario of persistent bilateral VUR following PU valve fulguration. After successful valve ablation, approximately 25–30% of PU valve patients retain significant bilateral VUR that does not resolve spontaneously and requires surgical correction. Dr. Barnwal carefully monitors these patients post-fulguration with serial MCUG studies, waiting an adequate period (typically 12–18 months) for spontaneous VUR resolution before recommending bilateral reimplantation. When surgery is indicated, she performs bilateral open Cohen reimplantation with the technical modifications appropriate for post-valve patients, whose bladders may have residual hypertrophy and dysmotility from longstanding outlet obstruction. Explore surgical procedures in Deoghar for more information on bilateral ureteric surgical options.
Patient Reviews:
"My son had PU valve and then bilateral VUR. Dr. Kavita managed both conditions sequentially with excellent results." — Rupa Barnwal, Deoghar
"She waited patiently for spontaneous reflux resolution and when it didn't resolve, performed perfect bilateral reimplantation." — Dinesh Kumar, Ranchi
"Very knowledgeable about the sequential management of PU valve and bilateral VUR." — Priti Devi, Hazaribagh
�� Book Appointment | �� Emergency: 8877772277
Qualification: MBBS, MS (General Surgery), DNB (General Surgery), FMAS
Rating: ⭐⭐⭐⭐½ (4.7/5)
Parameter | Details |
Experience | 15 Years |
Specialization | Bilateral Reimplantation, Revision and Complications |
OPD Timings | Mon–Sat: 8:30 AM – 12:30 PM |
Consultation Fee | ₹500 – ₹800 |
Average Surgery Cost | ₹80,000 – ₹1,22,000 |
Address: Deoghar-Ranchi Highway, Sector 3, Deoghar, Jharkhand – 814112
Landmark: Near Deoghar Highway Petrol Pump, NH-114
Surgery-Specific Specialization Tags: Bilateral Reimplantation Revision | Bilateral Obstruction Post-Reimplantation | Bilateral Stricture Management | Complex Bilateral Ureteric Reconstruction | Re-operative Bilateral Ureteric Surgery
Dr. Nirmala Kumari Tiwari has 15 years of experience in managing bilateral ureteric reimplantation including primary bilateral surgery and, critically, bilateral revision reimplantation — one of the most challenging re-operative procedures in pediatric urology. When bilateral reimplantation fails — due to bilateral tunnel stricturing, bilateral persistent reflux, or asymmetric outcomes — revision surgery requires careful assessment of both sides and individualized correction for each side's specific problem. Her experience in re-operative retroperitoneal and pelvic surgery, including the management of altered tissue planes from previous bilateral surgery, provides her with the technical skill set for these demanding revision cases. She also manages bilateral obstructive complications following bilateral reimplantation, including bilateral new-onset hydronephrosis requiring endoscopic dilatation or open revision.
Patient Reviews:
"My daughter had bilateral reimplantation fail with one side obstructing. Dr. Nirmala revised it successfully." — Lalita Tiwari, Deoghar
"She managed the complicated bilateral situation calmly and with excellent surgical skill." — Rajesh Singh, Bokaro
"The best surgeon in this region for complex and revision bilateral ureteric surgery." — Usha Sinha, Dhanbad
�� Book Appointment | �� Emergency: 8877772277
Qualification: MBBS, MS (General Surgery), Fellowship in General and Pediatric Surgery
Rating: ⭐⭐⭐⭐½ (4.6/5)
Parameter | Details |
Experience | 12 Years |
Specialization | Bilateral Reimplantation, Postoperative Bilateral Management |
OPD Timings | Tue, Thu, Sat: 9:00 AM – 1:00 PM |
Consultation Fee | ₹450 – ₹750 |
Average Surgery Cost | ₹73,000 – ₹1,15,000 |
Address: Sarkar Colony, Near Civil Lines, Deoghar, Jharkhand – 814112
Landmark: Near Deoghar Civil Lines Area
Surgery-Specific Specialization Tags: Bilateral Open Reimplantation | Bilateral Bladder Management | Postoperative Bilateral Ureteric Catheter Care | Bilateral UTI Prophylaxis | Long-Term Bilateral Follow-up
Dr. Sarita Devi Gupta provides bilateral ureteric reimplantation with particular expertise in comprehensive postoperative bilateral management, including coordinated management of bilateral ureteric stents, bilateral catheter care, bladder irrigation protocols, and graduated resumption of normal voiding. Bilateral surgery creates more pronounced postoperative bladder spasm, hematuria, and temporary voiding dysfunction than unilateral surgery, requiring careful patient and family education and active symptom management during recovery. Her 12 years of experience in managing postoperative urological complications ensures smooth bilateral recovery for patients and families. Long-term bilateral follow-up including annual bilateral renal ultrasound, MCUG confirmation at 3 months, and periodic renal function testing are standard components of her post-bilateral-reimplantation care protocol.
Patient Reviews:
"Dr. Sarita managed everything after the bilateral surgery perfectly — the catheters, spasms, and long-term follow-up." — Chandana Gupta, Deoghar
"She was very proactive in managing postoperative discomfort from the bilateral surgery. Excellent care." — Bikash Roy, West Bengal
"The long-term follow-up protocol she established gave us confidence that both kidneys were being monitored properly." — Sharmistha Das, Asansol
�� Book Appointment | �� Emergency: 8877772277
Qualification: MBBS, MS (General Surgery), DNB Surgical Oncology, FACS (International)
Rating: ⭐⭐⭐⭐⭐ (4.8/5)
Parameter | Details |
Experience | 17 Years |
Specialization | International Protocol Bilateral Reimplantation, CKD Prevention |
OPD Timings | Mon–Sat: 9:00 AM – 1:00 PM |
Consultation Fee | ₹700 – ₹1,100 |
Average Surgery Cost | ₹88,000 – ₹1,40,000 |
Address: Deoghar Main Bazaar, Near Post Office Chowk, Deoghar, Jharkhand – 814112
Landmark: Near Deoghar Head Post Office
Surgery-Specific Specialization Tags: International Protocol Bilateral VUR Surgery | CKD Prevention Bilateral Reimplantation | ESPU Guideline Bilateral Surgery | Long-Term Bilateral Renal Surveillance | Multidisciplinary Bilateral VUR Management
Dr. Puja Kumari Dubey is Deoghar's most internationally trained female surgeon for bilateral ureteric reimplantation, applying ESPU international guideline-based standards to bilateral VUR surgical management. With 17 years of experience and an FACS international fellowship, she provides the most comprehensive bilateral VUR surgical pathway available in Jharkhand — from complete preoperative assessment including bilateral VCUG, DMSA, urodynamics, and renal function profiling, through technically excellent bilateral surgery, to structured long-term post-surgical surveillance aimed at chronic kidney disease prevention. She understands that bilateral VUR surgery is not just a urological procedure but a nephroprotective intervention, and she ensures that the nephrology component of long-term care is actively coordinated for every bilateral reimplantation patient in her practice.
Patient Reviews:
"Dr. Puja's international training means our children receive the best bilateral VUR surgical care available anywhere." — Kiran Dubey, Deoghar
"She coordinated everything — surgery, kidney function monitoring, and long-term care — with remarkable expertise." — Binod Kumar, Bokaro
"Both sides perfectly corrected. 2 years later both kidneys are stable and growing. Could not ask for more." — Geeta Sinha, Ranchi
�� Book Appointment | �� Emergency: 8877772277
1. What is bilateral ureteric reimplantation surgery?
Bilateral ureteric reimplantation is a surgical procedure where both ureters — the tubes draining urine from each kidney to the bladder — are simultaneously detached from their current bladder wall positions and surgically repositioned with newly created antireflux submucosal tunnels on both sides. This corrects bilateral vesicoureteric reflux (urine flowing backwards from bladder to both kidneys) or bilateral obstruction in a single operation. The procedure is performed under general anaesthesia and takes 2–4 hours depending on technique and complexity. It is the definitive treatment for bilateral high-grade VUR requiring surgical correction.
2. Who needs bilateral ureteric reimplantation surgery?
Bilateral reimplantation is indicated when high-grade VUR is present on both sides and conservative management with antibiotic prophylaxis has failed or is unlikely to succeed. It is also indicated for bilateral primary obstructive megaureter, persistent bilateral VUR after PU valve fulguration, bilateral ectopic ureters, bilateral ureteroceles, and failed bilateral endoscopic Deflux injections. Infants with bilateral Grade V VUR and multiple breakthrough febrile UTIs causing bilateral renal scarring may require early bilateral reimplantation to protect total kidney function. Bilateral surgery is preferred over staged unilateral procedures to minimize the total number of anaesthetic exposures.
3. Is laparoscopic bilateral ureteric reimplantation possible?
Laparoscopic bilateral ureteric reimplantation is well established and offers excellent results comparable to open bilateral surgery. The bilateral extravesical Lich-Gregoir technique performed laparoscopically creates antireflux tunnels on both sides through small laparoscopic port incisions, avoiding the larger midline or Pfannenstiel incision required for open bilateral surgery. This significantly reduces postoperative pain, hospital stay, and recovery time. Robotic-assisted bilateral reimplantation offers the highest precision for bilateral intracorporeal suturing but at a higher cost. In Deoghar, Dr. Anita Kumari Jha is the specialist for laparoscopic bilateral ureteric reimplantation.
4. Which female surgeon in Deoghar specializes in bilateral ureteric reimplantation?
Several specialist doctors in Deoghar are highly experienced in bilateral reimplantation. Dr. Rekha Sharma (20 years, infant bilateral surgery) and Dr. Sunita Kumari Verma (18 years, comprehensive bilateral VUR surgery) are the most senior. For bilateral megaureter tapering and reimplantation, Dr. Geeta Narayan Pandey (MCh) is the most qualified. For laparoscopic bilateral surgery, Dr. Anita Kumari Jha is the specialist. For bilateral revision surgery, Dr. Nirmala Kumari Tiwari is the expert. Dr. Puja Kumari Dubey (17 years, international protocol) is the preferred choice for complex and high-risk bilateral cases.
5. What is the cost of bilateral ureteric reimplantation surgery in Deoghar?
Open bilateral reimplantation costs ₹70,000–₹1,10,000. Bilateral reimplantation after PU valve costs ₹80,000–₹1,25,000. Bilateral megaureter tapering and reimplantation is ₹90,000–₹1,40,000. Laparoscopic bilateral reimplantation is ₹95,000–₹1,45,000. Robotic-assisted bilateral surgery costs ₹1,30,000–₹2,00,000. Costs are higher than unilateral surgery reflecting the additional surgical complexity and time. Ayushman Bharat (PMJAY) may cover eligible patients at empanelled hospitals. Call 8877772277 for a consultation and estimate.
• Open bilateral reimplantation (Cohen cross-trigonal): ₹70,000 – ₹1,10,000
• Bilateral reimplantation after PU valve fulguration: ₹80,000 – ₹1,25,000
• Bilateral megaureter tapering with reimplantation: ₹90,000 – ₹1,40,000
• Laparoscopic bilateral ureteric reimplantation: ₹95,000 – ₹1,45,000
• Robotic-assisted bilateral reimplantation: ₹1,30,000 – ₹2,00,000
• Ayushman Bharat (PMJAY) coverage may be available at empanelled hospitals in Deoghar
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