Pyeloplasty (Surgery for UPJ Obstruction)
Pyeloplasty is a surgical procedure performed to correct Ureteropelvic Junction (UPJ) obstruction, a condition where urine flow from the kidney to the ureter is blocked. This blockage can cause kidney swelling, pain, infection, and reduced kidney function. Pyeloplasty restores normal urine drainage by removing the narrowed segment and reconnecting the healthy ureter to the kidney. It can be performed using open, laparoscopic, or robotic techniques.
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Pyeloplasty Surgical Procedure
Pyeloplasty is performed under general anesthesia by an experienced urologist. The goal of surgery is to remove the obstructed segment of the ureter and create a wide, smooth connection between the kidney pelvis and ureter to allow free urine drainage. A temporary stent is usually placed to support healing.
The procedure may be done using open surgery, laparoscopy, or robotic-assisted techniques, depending on patient condition and surgeon expertise.
Steps of Pyeloplasty
Pyeloplasty follows a precise, step-by-step surgical approach to ensure effective correction of obstruction.
Anesthesia and Patient Positioning
Surgical Access
Identification of UPJ Obstruction
Removal of Obstructed Segment
Reconstruction of UPJ
Placement of Ureteric Stent
Closure of Surgical Site
Benefits of Pyeloplasty
Recovery After Pyeloplasty
Most patients recover well after pyeloplasty. Hospital stay usually ranges from 2–5 days depending on the surgical method. Light activities can be resumed within 1–2 weeks, while complete recovery may take 3–4 weeks. The ureteric stent is removed after a few weeks.
Success Rate of Pyeloplasty
Pyeloplasty has a very high success rate (over 90%) in relieving obstruction and preserving kidney function, especially when performed using minimally invasive or robotic techniques.
When Is Pyeloplasty Required?
Pyeloplasty is recommended when imaging tests show UPJ obstruction causing pain, hydronephrosis, recurrent infections, or declining kidney function, and when conservative treatment is not effective.
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What is pyeloplasty and why is it done?
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