Prior to surgery your dog will be required to fast from food for 12 hours. General anaesthetic by intubation and gas will be administered after your dog has been sedated and administered intravenous anesthetic to put them into a deep sleep. The pelvic area will be shaved and prepared antiseptically. Urinary catheters will be placed to drain urine.
An incision is made in the pelvic area using a ventral midline celiotomy extending to the pubis and subcutaneous tissues incised to expose urinary tract organs, the ureter, and bladder. Stay sutures may be placed in the bladder and urethra to prevent movement during the procedure. For ectopic ureter, an incision is made into the bladder, and the first part of the urethra and the ectopic ureter is dissected out of the urethra and sutured appropriately into the bladder.
For other ureter displacements, necessary repairs to the ureter, kidneys and bladder are affected and then the displaced ureter is connected by creating an anastomosis to the appropriate place on the bladder to allow urine carried from the kidneys to drain into the bladder correctly. Repairs are created with specialized sutures using absorbable suture materials. Care not to interfere with vessels and other delicate urinary tract structures is taken. Once the displaced ureter has been connected appropriately to the bladder, incisions are closed and the dog is monitored in recovery.