Pyeloplasty is a surgical procedure aimed at repairing a blockage or narrowing at the ureteropelvic junction (UPJ), where the renal pelvis connects to the ureter. This obstruction can interfere with normal urine flow, leading to symptoms like pain, urinary tract infections, and kidney damage. Pyeloplasty corrects the obstruction, restoring proper urine flow and preserving kidney function.
Pyeloplasty Procedure
The pyeloplasty procedure involves several key steps:
The patient is placed under general anesthesia to ensure they remain unconscious and pain-free during the surgery.
The surgeon may choose between open surgery, laparoscopic, or robotic-assisted techniques to access the kidney and ureteropelvic junction.
The obstructed or narrowed portion of the UPJ is identified and corrected by removing the affected segment or reconstructing it to improve urine flow.
A temporary stent may be placed to maintain unobstructed urine flow during the healing process.
Incisions are closed with sutures or staples, depending on the surgical approach.
Who Needs Pyeloplasty?
Pyeloplasty is primarily indicated for individuals with ureteropelvic junction (UPJ) obstruction. This condition can occur in both adults and children, though the surgical approach may vary. Adults are often candidates for minimally invasive techniques, while open surgery is more commonly used for
pediatric cases.
After Pyeloplasty
Following the procedure, patients are monitored in the recovery room before being transferred to a hospital ward.
They are encouraged to gradually increase mobility and may start a light diet soon after surgery.
A bladder catheter and drain are used temporarily to manage fluid output, and these are removed as the patient recovers.
Hospital stays typically last three to four days, with follow-up appointments scheduled to monitor healing and remove any stents.
Advantages of Pyeloplasty
Pyeloplasty offers several significant benefits:
It resolves the obstruction at the UPJ, ensuring normal urine flow and reducing the risk of kidney damage.
Patients experience relief from symptoms such as flank pain, urinary tract infections, and hematuria.
Minimally invasive techniques, including laparoscopic and robotic-assisted surgery, result in smaller incisions, reduced pain, faster recovery,
and shorter hospital stays compared to open surgery.
Cosmetic outcomes are improved with smaller, less noticeable scars, enhancing patient satisfaction.
Pyeloplasty has a high success rate, providing long-term relief and improved kidney function.