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Pyeloplasty is performed to correct ureteropelvic junction (UPJ) obstruction, a blockage at the junction between the kidney and the ureter. It helps restore normal urine flow, relieve kidney swelling or pain, prevent kidney damage, reduce the risk of infections or stones, and improve overall kidney function.
If you have back or flank pain, frequent UTIs, blood in your urine, or kidney edema, consult a physician. To avoid kidney damage and decide whether pyeloplasty is necessary, early examination is crucial.
Before a pyeloplasty, follow your provider’s instructions carefully to reduce risks. You may need to fast for 8 hours, adjust or pause certain medications as advised, and arrange for someone to drive you home after the procedure. Hospital stay may be required for at least one night.
During pyeloplasty, you are placed under general anaesthesia. The surgeon makes small incisions near the affected kidney, removes the blocked part of the ureter, and reattaches it to the renal pelvis. A temporary stent may be placed to help drain urine during healing. Finally, the incisions are closed, and the stent is removed once the kidney recovers.
Pyeloplasty usually takes two to three hours to complete.
Pyeloplasty carries risks that are just like other surgeries. Among them are:
- Anesthesia-related reactions.
- bleeding and requiring a blood transfusion.
- Harm to blood arteries or adjacent organs (such as the intestines or bladder).
- Scarring
- Infection.
- A hernia occurs when an organ extends through the muscular wall.
- Blood clots
- If the obstruction recurs due to scarring, another surgery will be required.
- Urine leakage at the kidney-ureter junction.
Pyeloplasty offers several important benefits. It helps relieve pain caused by ureteropelvic junction obstruction, improves kidney function by restoring normal urine flow, and reduces kidney swelling (hydronephrosis), lowering the risk of long-term kidney damage.
Pyeloplasty recovery typically takes one to two weeks, during which time there may be mild pain or blood in the urine, particularly while the stent is in place. In three to four weeks, most patients can return to their regular activities. To ensure appropriate renal drainage and healing, follow-up consultations include stent removal and ultrasound examinations.
Ureteropelvic junction (UPJ) obstruction in both children and adults can be successfully resolved with pyeloplasty, which has a very high success rate of 90% to 98%. Modern minimally invasive (robotic/laparoscopic) techniques offer similar excellent outcomes to traditional open surgery, but with a quicker recovery.
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Wockhardt Hospital - A new Age Hospital
Mumbai, India
Wockhardt Hospital - A New Age Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- 20-storeyed building at Mumbai Central (South Mumbai)
- Capacity of 350-beds
- Two highly-advanced cath labs with ultra-modern technologies to perform high risk coronary procedures and neurological surgeries
- 8 Operation Theatres- Cardiac, Joint Replacement, Neurology, Oncology, MAS and Organ Transplantation
- 100 beds dedicated to Critical Care, which are connected to IntelliSpace Critical Care & Anaesthesia (ICCA) system
- Largest Paediatric Cardiac Unit
- It has the largest Intelligent ICCA System
- Possess Hi-tech GPS-enabled Ambulances and largest state-of-the-art Accident & Emergency unit in South Mumbai
- As far as accommodation facility is considered, the Hospital makes it easily accessible for the patients in nearby hotels/lodges
Jaypee Hospital
Noida, India
Jaypee Hospital located in Noida, India is accredited by ISO, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- 525 beds in the first phase
- 150 Critical Care beds
- 325 ward beds with Suite, Deluxe, Twin Sharing, and Economy options
- 18 Modular OTs
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- 24 bedded Advanced Neonatal ICUs20 bedded Dialysis Units
- 2 Linear Accelerator (IMRT, VMAT, I
- GRT), Wide Bore CT Simulator, one Brachytherapy Suite
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- 2 MRI (3.0 Tesla) with High-Intensity Focused Ultrasound
- 64 Slice PET CT, Gamma Camera, Dual Head 6 Slice SPECT CT
- 256 Slice CT Scan, CT Simulation
- Amongst the few GOLD LEED-certified hospital buildings in India
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- Dedicated Guest House for International Patients maintained by Jaypee Hospital
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- Accommodation arrangements after discharge
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- Cadaver organs
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- High-end Ultrasound facilities
Fortis Hospital, Shalimar Bagh
Delhi, India
4.5 ( 4 Reviews )
- Fortis Hospital, Shalimar Bagh, New Delhi, is a leading multi-super-speciality hospital established in 2010, known for advanced medical technology and compassionate patient care.
- The hospital has 375 beds, including 166 ICU beds, and features 10 modular operating theatres along with specialised ICUs and Level III NICU/PICU. Fortis Shalimar Bagh offers care across Cardiology, Neurosciences, Oncology, Orthopaedics, Transplants, Urology, and Mother & Child Health, supported by NABH and NABL accreditation.
- Equipped with cutting-edge technology like the Da Vinci Surgical Robot, PET-CT Scanner, and CORI Robotic System, the hospital is recognised for excellence in treatment outcomes, patient comfort, and multidisciplinary care, making it a trusted destination for both domestic and international patients.
Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- One of the biggest tertiary care hospitals in India
- Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
- 230 beds
- 70 bedded medical and surgical and Critical Care Unit
- Ward Bed Options- Twin, Deluxe, Sharing and Economy
- Pneumatic Tube System
- Ambulance Services 24x7
- 15 Bedded dialysis unit
- Advanced Neonatal ICU
- Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
- 8 modular OTs
- Flat Panel Cath Labs
- LASIK - SMILE Suite
- Wellness Lounge
- State-of-the-art diagnostic equipment
- 15 Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic assisted surgeries
- International Patients Lounge
- Airport Pick-up and Drop
- Accommodation and Food for Attendant
- Language Interpreter Services
- 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
- Robotic knee replacement surgery
- ATM
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- 24x7 pharmacy
Aster Medcity
Kochi, India
- 670 bed facility
- 24 hours Emergency and Trauma Care
Aster Centres of Excellence
- Cardiac Sciences
- Orthopaedics & Rheumatology
- Neurosciences
- Nephrology & Urology
- Oncology
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- Integrated Liver Care
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- Multi Organ Transplant
- Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
- Streamlined Application of Therapeutic Technology
- Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
- ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
- Completely digital Anesthesia facility
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Medicana Camlica Hospital
Istanbul, Turkey
4.2 ( 2 Reviews )
Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
- Specialty-based clinics
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Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Operates in a closed area of 53,000 sqm
- Capacity of 252 beds
- 13 Operating rooms
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Hisar Intercontinental Hospital
Istanbul, Turkey
Architecture of the Hospital designed as per the comfort of patients-
- Consisting of 8 floors, 212 bed capacity
- 75m2 suite rooms
- 35 thousand m2 closed area
- 7 operating rooms
- 53 polyclinics
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- Intensive care units consisting of 33 beds
- Hyperbaric Oxygen Center inside the hospital
- PYXIS computerized medicine system working with fingerprint
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Tel Aviv Sourasky Medical Center -Ichilov Hospital
Tel Aviv, Israel
Tel Aviv Sourasky Medical Center -Ichilov Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
- There are 60 departments in Tel Aviv Sourasky Medical Center
- The center has as many as 6 institutions:
- Ichilov General Hospital
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- Lis Maternity and Women's Hospital
- Patient Care Numbers (annual) are as follows:
- 400,000 patients
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Lifecare Hospital, Musaffah
Abu Dhabi, United Arab Emirates
Lifecare Hospital, Musaffah located in Abu Dhabi, United Arab Emirates is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Inpatient Pharmacy
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+99Process Involved for Pyeloplasty
Diagnosis & Pre-Surgical Evaluation
- Physical examination and medical history review
- Imaging studies such as ultrasound, CT scan, or MR urography
- Renal function tests and anaesthesia fitness check
Pre-Surgery Preparations
- Fasting before surgery
- Medication review as advised by the doctor
- Discussion of the procedure and expected outcomes
Procedure
- Performed under general anaesthesia
- Small abdominal incisions (laparoscopic/robotic) or open incision if required
- The blocked segment of the ureter was removed and reattached to the renal pelvis
- Temporary ureteral stent placement if needed
Post-Surgical Recovery
- Hospital stay of a few days
- Pain management and gradual return to activities
- Avoid strenuous activity for a few weeks
Long-Term Follow-Up
- Follow-up visits for stent removal
- Imaging to monitor kidney drainage and function
- Ureteropelvic junction (UPJ) obstruction
- Hydronephrosis (kidney swelling)
- Impaired urine drainage from the kidney
- Recurrent urinary tract infections due to obstruction
- Flank or abdominal pain related to kidney blockage
- Laparoscopic Pyeloplasty: Using minimally invasive tools, this procedure is carried out through tiny abdominal incisions.
- Endoscopic Pyeloplasty: Using a scope, this procedure is performed through the urethra without any external incisions.
- Open Pyeloplasty: Conventional surgery, typically for complicated situations, that involves making a bigger incision close to the kidney.
- Diagnosis of ureteropelvic junction (UPJ) obstruction causing urine flow blockage.
- Presence of kidney swelling (hydronephrosis) or impaired kidney function.
- Recurrent urinary tract infections related to the obstruction.
- Flank or abdominal pain due to UPJ obstruction.
- Failed or ineffective previous treatments for UPJ obstruction.
- Overall, good health to undergo anaesthesia and surgery.
- Suitable for both children and adults, depending on the severity of obstruction.
- Placement and removal of ureteral stents
- Robotic or laparoscopic surgery
- Endoscopic assessment of the ureter
- Renal function testing guided by imaging
- Treatment of kidney stones, if present
- Alleviation of pain.
- Enhanced urine outflow and renal function.
- Reduction in kidney swelling (hydronephrosis).
- Restoration of regular urine flow
- Alleviation of stomach or flank discomfort
- Decrease in hydronephrosis, or kidney swelling
- Enhancement or maintenance of renal function
- Reduced chance of recurring urinary tract infections
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