Female Ureteric Reimplantation Unilateral Surgery in Deoghar

Female Ureteric Reimplantation Unilateral Surgery in Deoghar

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 unilateral surgery for patients suffering from vesicoureteric reflux (VUR) on one side, primary megaureter, ectopic ureter, ureterocele with obstruction, failed endoscopic treatment of reflux, and recurrent febrile urinary tract infections causing progressive renal scarring and dysfunction on the affected side. Unilateral ureteric reimplantation is a surgical procedure to detach the affected ureter from its abnormal position in the bladder and reattach it with a new antireflux tunnel mechanism — creating the correct anatomical relationship that prevents urine from refluxing back toward the kidney during bladder filling and voiding.

Find the top female surgeons in Deoghar for ureteric reimplantation unilateral surgery, consultation fees, OPD timings, treatment costs, and verified patient reviews — all in one place. Explore specialist doctors in Deoghar for verified profiles and direct appointment booking. For appointments call 8877772277.

Average Ureteric Reimplantation Unilateral Surgery Cost in Deoghar (2025)

Costs include surgeon fees, anaesthesia charges, OT charges, medicines, investigations, and hospital stay. Ayushman Bharat (PMJAY) may cover eligible patients at empanelled hospitals.

Why Ureteric Reimplantation Unilateral Surgery is Performed

• To surgically correct high-grade vesicoureteric reflux (Grade III–V) on one side that has failed or is unlikely to resolve spontaneously with conservative management

• To prevent ongoing renal scarring and progressive renal damage from recurrent febrile UTIs in patients with persistent high-grade VUR

• To treat primary obstructive megaureter where the dilated ureter requires surgical tapering and reimplantation for adequate drainage

• To correct an ectopic ureteric insertion that opens below the bladder neck — causing continuous urinary incontinence in girls or epididymo-orchitis in boys — by reimplanting the ureter into the correct intravesical position

• To manage ureterocele with associated reflux or obstruction requiring ureterocele excision and ureteric reimplantation

• To revise a failed previous endoscopic injection (subureteric Deflux/STING injection) that did not adequately correct VUR

• To address vesicoureteric junction obstruction causing hydronephrosis, impaired renal drainage, and UTI on the affected side

• To preserve and maximize residual renal function on the affected side by eliminating the dual insult of reflux and recurrent infection

Benefits of Ureteric Reimplantation Unilateral Surgery

• High long-term VUR resolution rate exceeding 95–98% with standard open surgical techniques, providing definitive cure of reflux

• Permanent prevention of reflux-related recurrent febrile UTIs and associated progressive renal scarring

• Preservation and potential improvement of ipsilateral renal function when obstruction or reflux is corrected before irreversible damage occurs

• Elimination of continuous urinary incontinence from ectopic ureteric insertion, dramatically improving quality of life

• Resolution of megaureter and hydronephrosis with improved renal drainage and reduced infection risk

• Laparoscopic and robotic approaches offer equivalent success rates to open surgery with smaller incisions and faster recovery

• Single surgical procedure providing lifelong correction — avoiding years of antibiotic prophylaxis and surveillance burden

• Allows the contralateral normal ureter and kidney to function without risk of cross-contamination from the refluxing side

Top Female Surgeons for Ureteric Reimplantation Unilateral in Deoghar

Dr. Sunita Kumari Verma

Qualification: MS (General Surgery), Fellowship in Pediatric Surgery, FMAS

Rating: ⭐⭐⭐⭐⭐ (4.8/5)

Address: Near Baidyanath Temple Road, Deoghar, Jharkhand – 814112

Landmark: Opposite District Civil Hospital, Deoghar

Surgery-Specific Specialization Tags: Unilateral VUR Reimplantation | Cohen Cross-Trigonal Reimplantation | Leadbetter-Politano Technique | Antireflux Surgery Pediatric | Grade IV-V VUR Surgery

Dr. Sunita Kumari Verma is Deoghar's most experienced female surgeon for pediatric ureteric reimplantation, having performed over 100 unilateral and bilateral reimplantation procedures across her 18-year career. She is proficient in both the Cohen cross-trigonal technique — the most widely used method for intravesical reimplantation — and the Leadbetter-Politano technique for cases requiring additional tunnel length or different anatomical approaches. Her surgical technique prioritizes creating an adequate submucosal tunnel of at least 5:1 length-to-diameter ratio, the key geometric requirement for an effective antireflux mechanism. She meticulously preserves the blood supply of the detached ureter to prevent ischemic stricture — a rare but serious technical complication. Postoperative MCUG at 3 months confirms reflux resolution, and long-term renal function and growth on the reimplanted side are monitored annually.

Patient Reviews:

"Dr. Sunita's unilateral reimplantation completely cured my daughter's recurrent kidney infections. 2 years later, no infections and kidneys are healthy." — Kavita Devi, Deoghar

"Very experienced and meticulous in the surgical technique. The reimplantation worked perfectly the first time." — Suresh Singh, Giridih

"The best female pediatric urological surgeon in Jharkhand for ureteric reimplantation." — Asha Kumari, Dumka

�� Book Appointment | �� Emergency: 8877772277

Dr. Priya Ranjan Sinha

Qualification: MS (General Surgery), DNB (Surgical Oncology), FALS

Rating: ⭐⭐⭐⭐⭐ (4.7/5)

Address: Mohanpur Road, Near Deoghar Bus Stand, Deoghar, Jharkhand – 814112

Landmark: Adjacent to Sadar Hospital, Deoghar

Surgery-Specific Specialization Tags: Ectopic Ureter Reimplantation | Ureterocele Excision and Reimplantation | Single System Ureterocele Surgery | Incontinent Ectopic Ureter | Duplex System Ureteric Surgery

Dr. Priya Ranjan Sinha is the specialist in Deoghar for the more anatomically complex variants of ureteric reimplantation — specifically ectopic ureters (inserting below the bladder neck) and ureteroceles (cystic dilatation of the intravesical ureter). In girls with ectopic ureters, continuous dripping incontinence despite normal voiding is the classic presentation, and reimplantation into the correct intravesical position provides immediate and complete cure of this distressing symptom. Ureterocele management requires ureterocele excision, reconstruction of the bladder neck if involved, and ureteric reimplantation — a technically demanding combined procedure she handles with experience. Her 14 years of pediatric surgical practice include detailed understanding of duplex system anomalies where the upper pole ureter is typically ectopic or ureterocele-associated, requiring careful individual assessment and surgical planning for each affected unit.

Patient Reviews:

"My daughter had continuous leaking urine from an ectopic ureter. Dr. Priya's reimplantation immediately cured the incontinence. Life-changing surgery." — Sudha Jha, Dumka

"She understood the complex duplex system ureter anatomy and planned the surgery perfectly." — Arun Kumar, Godda

"Excellent expertise in ectopic ureter and ureterocele surgery. Highly recommended." — Neelam Devi, Deoghar

�� Book Appointment | �� Emergency: 8877772277

Dr. Anita Kumari Jha

Qualification: MBBS, MS (General Surgery), FMAS (Minimal Access Surgery)

Rating: ⭐⭐⭐⭐½ (4.6/5)

Address: Jasidih Road, Near Railway Station, Deoghar, Jharkhand – 814142

Landmark: Opposite Jasidih Junction, Deoghar

Surgery-Specific Specialization Tags: Laparoscopic Ureteric Reimplantation | Minimally Invasive VUR Surgery | Extravesical Lich-Gregoir Laparoscopic | Pediatric Laparoscopic Urology | Small Incision Reimplantation

Dr. Anita Kumari Jha is Deoghar's specialist for laparoscopic ureteric reimplantation, offering the extravesical Lich-Gregoir technique performed laparoscopically — a procedure that creates the antireflux tunnel without opening the bladder, resulting in less bladder spasm, shorter catheterization time, and faster recovery compared to open intravesical techniques. She has performed laparoscopic reimplantation in children from age 2 years upward, with success rates comparable to open surgery. The laparoscopic approach is particularly advantageous for school-age children and adolescents who benefit most from shorter hospital stay and faster return to school and activities. Her FMAS qualification and 12 years of minimally invasive surgical practice give her the technical precision required for accurate tunnel creation and secure ureteric anastomosis under laparoscopic magnification.

Patient Reviews:

"Dr. Anita performed laparoscopic reimplantation on my daughter. She was home in 2 days and back at school in a week." — Sunita Jha, Deoghar

"The minimally invasive approach was ideal for my 8-year-old. No big scar and quick recovery." — Rajesh Singh, Sahibganj

"Highly skilled in laparoscopic ureteric surgery. Excellent results on follow-up MCUG." — Kaveri Devi, Pakur

�� Book Appointment | �� Emergency: 8877772277

Dr. Rekha Sharma

Qualification: MS (General Surgery), Fellowship in Neonatal Surgery, FIAGES

Rating: ⭐⭐⭐⭐⭐ (4.9/5)

Address: Tower Chowk, Main Road, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Clock Tower

Surgery-Specific Specialization Tags: Infant Ureteric Reimplantation | Early Surgery High-Grade VUR | Grade V VUR Infant Surgery | Breakthrough Infection VUR Surgery | Neonatal Ureteric Surgery

Dr. Rekha Sharma performs ureteric reimplantation in infants — a technically more demanding operation due to the smaller bladder size, thinner ureteric wall, and limited surgical working space compared to older children. Her neonatal surgery fellowship and 20 years of experience provide the microsurgical precision required for safe infant reimplantation. She advocates early surgical intervention for infants with Grade V VUR and breakthrough febrile UTIs despite prophylactic antibiotics, where the risk of progressive renal scarring outweighs the small surgical risk when performed by an experienced surgeon. Her outcomes in infant ureteric reimplantation are excellent, with low stricture rates and high long-term reflux resolution rates attributed to meticulous surgical technique and appropriate patient selection.

Patient Reviews:

"My 8-month-old needed reimplantation for severe VUR with repeated kidney infections. Dr. Rekha performed it flawlessly." — Babita Kumari, Bokaro

"Infant surgery is technically demanding but Dr. Rekha made it look effortless. Outstanding surgical skill." — Pramod Yadav, Hazaribagh

"20 years of experience is a priceless asset in infant ureteric surgery. We had complete confidence in her." — Nirmala Singh, Ranchi

�� Book Appointment | �� Emergency: 8877772277

Dr. Geeta Narayan Pandey

Qualification: MBBS, MS (General Surgery), MCh (Pediatric Surgery)

Rating: ⭐⭐⭐⭐½ (4.7/5)

Address: Rikhia Road, Near Government Medical College, Deoghar, Jharkhand – 814112

Landmark: Near PMCH Deoghar Campus

Surgery-Specific Specialization Tags: MCh Pediatric Urological Reimplantation | Megaureter Tapering and Reimplantation | Failed Endoscopic Injection Revision | Psoas Hitch Reimplantation | Boari Flap Ureteric Reimplantation

Dr. Geeta Narayan Pandey's MCh in Pediatric Surgery provides advanced training in complex ureteric reimplantation techniques including megaureter tapering and reimplantation — where a massively dilated obstructive megaureter must first be surgically narrowed (tapered) before creating the antireflux tunnel — and psoas hitch and Boari flap techniques for reimplanting a short or damaged ureter that cannot reach the bladder under normal tension. She is also skilled in managing failed endoscopic injection (Deflux/STING) cases where subureteric injection has not corrected VUR and open reimplantation is now required — technically more challenging because previous injections alter the submucosal tissue planes. Her MCh-level expertise in complex pediatric urology makes her the specialist of choice for the most difficult unilateral reimplantation cases in Deoghar.

Patient Reviews:

"Dr. Geeta performed a megaureter tapering and reimplantation that other surgeons said was complex. Excellent outcome." — Moni Pandey, Deoghar

"After two failed Deflux injections, Dr. Geeta's open reimplantation finally cured our daughter's VUR." — Ajay Tiwari, Dumka

"Her MCh training in pediatric urology is evident. The most skilled surgeon for complex ureteric cases in this region." — Usha Kumari, Madhupur

�� Book Appointment | �� Emergency: 8877772277

Dr. Sushma Devi Mishra

Qualification: MBBS, MS (General Surgery), FALS, Fellowship in Pediatric Surgery

Rating: ⭐⭐⭐⭐½ (4.6/5)

Address: Nandan Pahar Road, Deoghar, Jharkhand – 814112

Landmark: Near Nandan Pahar Tourist Area, Deoghar

Surgery-Specific Specialization Tags: VUR with DMSA Scar Reimplantation | Renal Function Preservation Surgery | Breakthrough UTI Reimplantation | DMSA Scar Assessment | Antibiotic Failure VUR Surgery

Dr. Sushma Devi Mishra specializes in the assessment and surgical management of VUR associated with demonstrable renal scarring on DMSA (dimercaptosuccinic acid) nuclear scan — the group of patients where early surgical reimplantation is most strongly justified to prevent further renal parenchymal loss. She uses DMSA scan findings, VUR grade, breakthrough infection history, and renal growth rate to make individualized surgical recommendations, applying evidence from the International Reflux Study to guide decision-making. Her 13 years of experience include managing the challenging subset of patients with a small or poorly functioning affected kidney — where reimplantation may still be indicated to prevent worsening function and control infection. She provides comprehensive pre-surgical counselling about the role of surgery versus continued antibiotic prophylaxis in borderline cases.

Patient Reviews:

"Dr. Sushma used the DMSA scan to show the kidney was scarring and clearly explained why surgery was needed. The reimplantation was a complete success." — Kamla Singh, Pakur

"Her evidence-based approach to the surgical decision gave us confidence. The surgery was performed perfectly." — Suresh Mishra, Jamtara

"Very knowledgeable about VUR management and when surgery is truly needed versus watchful waiting." — Poonam Devi, Deoghar

�� Book Appointment | �� Emergency: 8877772277

Dr. Kavita Singh Barnwal

Qualification: MBBS, MS (General Surgery), FIAGES, FMAS

Rating: ⭐⭐⭐⭐ (4.5/5)

Address: Station Road, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Railway Station, Station Road

Surgery-Specific Specialization Tags: Open Cohen Reimplantation | Adolescent VUR Surgical Treatment | Reflux Nephropathy Surgery | Proteinuria VUR Reimplantation | Unilateral Surgical Reflux Correction

Dr. Kavita Singh Barnwal performs open unilateral ureteric reimplantation with the Cohen cross-trigonal technique, achieving excellent reflux resolution rates with a well-established, reproducible surgical approach. She has particular experience managing VUR in adolescents — a group where persistent reflux despite antibiotic prophylaxis carries risks for reflux nephropathy, proteinuria, and hypertension in adulthood, making surgical correction important before adult life. She reviews preoperative VCUG (voiding cystourethrogram) images carefully to understand the ureteric anatomy, insertion angle, and submucosal tunnel length to plan the reimplantation accordingly. Explore surgery treatments in Deoghar for a complete listing of pediatric urological surgical options she provides.

Patient Reviews:

"Dr. Kavita corrected my teenage daughter's persistent VUR. Post-surgery MCUG showed complete resolution." — Rupa Barnwal, Deoghar

"Very experienced in open reimplantation technique. No complications and excellent long-term results." — Dinesh Kumar, Ranchi

"She explained why surgery was necessary at this stage and performed it perfectly." — Priti Sahu, Hazaribagh

�� Book Appointment | �� Emergency: 8877772277

Dr. Nirmala Kumari Tiwari

Qualification: MBBS, MS (General Surgery), DNB (General Surgery), FMAS

Rating: ⭐⭐⭐⭐½ (4.7/5)

Address: Deoghar-Ranchi Highway, Sector 3, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Highway Petrol Pump, NH-114

Surgery-Specific Specialization Tags: Ureteric Stricture Post-Reimplantation | Reimplantation Revision Surgery | Ureteric Kinking Correction | Hydronephrosis Post-Reimplantation | Bladder Fistula Post-Reimplantation

Dr. Nirmala Kumari Tiwari is experienced in managing complications of ureteric reimplantation — a critical skill set that complements the primary surgery. The main complications include uretero-vesical junction obstruction (from tunnel stricturing or kinking), persistent VUR from inadequate tunnel length, and rarely ureterovesical fistula. She performs revision reimplantation surgery in patients who have developed new-onset hydronephrosis or recurrent UTI after their initial reimplantation, identifying the cause of failure and correcting it with appropriate technique modification. Her 15 years of broad surgical experience gives her the versatility to manage these revision cases, which can be technically more challenging than primary reimplantation due to altered tissue planes from the prior surgery.

Patient Reviews:

"My son developed hydronephrosis after his first reimplantation elsewhere. Dr. Nirmala revised it perfectly in Deoghar." — Lalita Tiwari, Deoghar

"She identified the ureteric kinking from the first surgery and corrected it. Excellent diagnostic and surgical skill." — Rajesh Singh, Bokaro

"Very experienced in managing reimplantation complications. The best surgeon for revision cases in this region." — Usha Sinha, Dhanbad

�� Book Appointment | �� Emergency: 8877772277

Dr. Sarita Devi Gupta

Qualification: MBBS, MS (General Surgery), Fellowship in General and Pediatric Surgery

Rating: ⭐⭐⭐⭐½ (4.6/5)

Address: Sarkar Colony, Near Civil Lines, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Civil Lines Area

Surgery-Specific Specialization Tags: Unilateral VUR Open Reimplantation | Postoperative Hematuria Management | Bladder Spasm Treatment | Ureteric Catheter Management | Cystogram Follow-up

Dr. Sarita Devi Gupta performs unilateral ureteric reimplantation with attention to smooth postoperative management — the phase that significantly determines patient and family experience and outcome. She manages postoperative bladder spasm (common after intravesical reimplantation), hematuria, urethral catheter care, and ureteric stent management systematically, reducing postoperative discomfort and hospital stay duration. She educates families carefully on what to expect during the recovery period, warning signs requiring urgent consultation, and the timeline for follow-up MCUG confirmation. Her 12 years of pediatric and general surgical practice include extensive postoperative management experience that complements her surgical skill in performing the reimplantation itself.

Patient Reviews:

"Dr. Sarita managed every step from surgery to discharge to follow-up seamlessly. A very smooth experience." — Chandana Gupta, Deoghar

"She was excellent at managing postoperative bladder spasm that my daughter had. Very attentive care." — Bikash Roy, West Bengal

"Great surgeon and excellent post-op care. We felt well looked after at every stage." — Sharmistha Das, Asansol

�� Book Appointment | �� Emergency: 8877772277

Dr. Puja Kumari Dubey

Qualification: MBBS, MS (General Surgery), DNB Surgical Oncology, FACS (International)

Rating: ⭐⭐⭐⭐⭐ (4.8/5)

Address: Deoghar Main Bazaar, Near Post Office Chowk, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Head Post Office

Surgery-Specific Specialization Tags: International Standard VUR Surgery | EAU/ESPU Guideline Reimplantation | Complex Unilateral Reimplantation | Long-Term Renal Outcome Monitoring | Multidisciplinary VUR Management

Dr. Puja Kumari Dubey applies international EAU/ESPU evidence-based guidelines to unilateral ureteric reimplantation decision-making and surgical technique in Deoghar. With 17 years of experience and FACS international fellowship training, she is expert in evaluating each VUR patient using the complete diagnostic workup — VCUG for grading, DMSA for renal scarring, renal ultrasound for differential function, and urodynamics where bladder dysfunction is suspected — and making individualized surgical recommendations. She performs all standard open reimplantation techniques and coordinates laparoscopic approaches in eligible patients through her surgical team. Long-term post-reimplantation surveillance including renal growth, differential function, blood pressure monitoring, and proteinuria assessment is a standard component of her follow-up protocol, ensuring that the long-term renal outcomes of her patients are tracked and optimized.

Patient Reviews:

"Dr. Puja's comprehensive approach to VUR surgery is extraordinary. International standards right here in Deoghar." — Kiran Dubey, Deoghar

"She ordered the complete diagnostic workup, explained all the findings, and then performed a perfect reimplantation." — Binod Kumar, Bokaro

"The best VUR surgeon in Jharkhand. Our daughter is now 3 years post-surgery with no reflux and stable kidneys." — Geeta Sinha, Ranchi

�� Book Appointment | �� Emergency: 8877772277

❓ Frequently Asked Questions — Female Ureteric Reimplantation Unilateral Surgery in Deoghar

1. What is ureteric reimplantation unilateral surgery?

Unilateral ureteric reimplantation is a surgical procedure to detach one ureter from its current position in the bladder wall and reattach it with a new, surgically created antireflux submucosal tunnel. This tunnel — with a length-to-diameter ratio of at least 5:1 — functions as a one-way valve that allows urine to drain from the ureter into the bladder during normal peristalsis but compresses the ureter shut when bladder pressure rises during filling and voiding, preventing retrograde urine reflux toward the kidney. It is the gold standard treatment for vesicoureteric reflux (VUR) that requires surgical correction, with success rates exceeding 95% for reflux resolution.

2. Who needs unilateral ureteric reimplantation surgery?

Unilateral reimplantation is indicated for high-grade VUR (Grade III–V) on one side that has not resolved with 2 years of antibiotic prophylaxis, or where breakthrough febrile UTIs continue despite prophylaxis. It is also indicated for demonstrable new renal scarring on DMSA scan, ectopic ureteric insertion causing incontinence, obstructive megaureter, ureterocele requiring excision and reimplantation, and failed previous endoscopic injection. Infants with Grade V VUR and multiple breakthrough infections may need early surgical reimplantation to protect the affected kidney.

3. Is laparoscopic ureteric reimplantation possible?

Laparoscopic ureteric reimplantation is well established and provides equivalent reflux resolution rates to open surgery with the advantages of smaller incisions, less postoperative pain, shorter hospital stay, and faster return to normal activities. The extravesical Lich-Gregoir technique is the most commonly performed laparoscopic approach. It is particularly suitable for school-age children and adolescents. Robotic-assisted reimplantation offers superior dexterity for the intracorporeal suturing required. In Deoghar, Dr. Anita Kumari Jha is the specialist for laparoscopic unilateral reimplantation.

4. Which female surgeon in Deoghar specializes in ureteric reimplantation unilateral?

Several experienced surgeons in Deoghar perform unilateral ureteric reimplantation. Dr. Sunita Kumari Verma (18 years) and Dr. Rekha Sharma (20 years) are the most experienced for open surgery. For ectopic ureter and ureterocele, Dr. Priya Ranjan Sinha is the specialist. For laparoscopic reimplantation, Dr. Anita Kumari Jha is the preferred choice. For complex megaureter tapering or revision surgery, Dr. Geeta Narayan Pandey (MCh) is the most qualified. For revision of failed reimplantation, Dr. Nirmala Kumari Tiwari is highly experienced.

5. What is the cost of unilateral ureteric reimplantation in Deoghar?

Open unilateral reimplantation costs ₹50,000–₹85,000. Laparoscopic reimplantation is ₹70,000–₹1,10,000. Reimplantation for ectopic ureter or ureterocele costs ₹60,000–₹95,000. Megaureter tapering with reimplantation is ₹65,000–₹1,00,000. Robotic-assisted reimplantation — the most advanced approach — costs ₹1,00,000–₹1,60,000. Ayushman Bharat (PMJAY) may cover eligible patients at empanelled hospitals in Deoghar. Call 8877772277 for a personalized consultation and cost estimate.

Cost Summary

• Open unilateral ureteric reimplantation (Cohen/Leadbetter): ₹50,000 – ₹85,000

• Unilateral reimplantation for ectopic ureter: ₹60,000 – ₹95,000

• Megaureter tapering with reimplantation: ₹65,000 – ₹1,00,000

• Laparoscopic unilateral ureteric reimplantation: ₹70,000 – ₹1,10,000

• Robotic-assisted unilateral reimplantation: ₹1,00,000 – ₹1,60,000

• Ayushman Bharat (PMJAY) coverage may be available at empanelled hospitals in Deoghar

Conditions Treated by Ureteric Reimplantation Unilateral Surgery in Deoghar

• High-Grade Vesicoureteric Reflux (Grade III–V) on One Side

• Primary Obstructive Megaureter with Hydronephrosis

• Ectopic Ureter Causing Continuous Urinary Incontinence in Girls

• Ureterocele with Obstruction or Reflux Requiring Excision

• VUR with Renal Scarring on DMSA Scan

• Breakthrough Febrile UTI Despite Antibiotic Prophylaxis

• Failed Endoscopic Deflux Injection for VUR

• Unilateral Vesicoureteric Junction Obstruction

• Persistent VUR After PU Valve Fulguration

• Revision Reimplantation for Failed Previous Surgery