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Bill. Ureteric reimplantation for Bill. High grade VUR in paediatric patient

History : 4 year old child presented with not able to gain weight and remain weak and ill. Child previously investigated and informed that urine refluxing from bladder in to both kidneys. Child kept on medical management. Child operated as not gaining weight on medical management and develop recurrent infection.

Patient Bladder

Both ureteric orifice

Procedure in progress: both ureter mobilized.

Procedure in progress : Hiatus preplaced to extend the tunnel length

Final look