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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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1.0 ( 1 Reviews )
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4.4 ( 5 Reviews )
Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.
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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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