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Pyeloplasty

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Pyeloplasty Treatment & Diagnostics in Nehru Enclave, Delhi

Pyeloplasty

Pyeloplasty is a procedure to correct or replace any obstruction in the ureteropelvic junction (UPJ). It is done by the best urologist in New Delhi.

What is pyeloplasty?

Our kidneys have a relay junction called the renal pelvis that stores urine and is connected to the ureter (urine tube) that carries urine outside your body.

Any obstruction in this pathway is called ureteropelvic obstruction, wherein urine cannot be passed out and your kidneys get unduly compressed due to excessive urine.

Pre-surgery fitness:

  • Your urologist or general surgeon will advise you to undergo certain blood tests to assess surgical fitness.
  • Pain medications may be given to keep you comfortable till surgery.

Surgical procedure:

  • Your anesthesiologist will numb your body and put you to sleep.
  • A small incision is made just below your ribs. The obstruction around your kidney near the urine tube is viewed.
  • The damaged part or obstruction is removed with surgical instruments. The healthy part of your urine tube is stitched back to your kidney by itself or through a stent.
  • The stent helps your kidneys drain fluids in the initial few days post surgery.
  • Your skin will be stitched back and a bandage applied. A urine bag or catheter may be placed to help you urinate while you recover from anesthesia.

Post-surgery care:

  • You may be allowed to start walking around within a day.
  • Some anti-inflammatory or antibiotics and pain medications may be continued as per your urologist's advice.
  • You will be instructed to not lift heavy weights or climb stairs to avoid unnecessary pressure on the surgical site.
  • A follow-up will be necessary by the 10th day to remove stitches.
  • Bathing will be allowed once the surgery site is dry.

Who qualifies for the procedure?

  • Babies or children: A ureteropelvic obstruction usually occurs in babies at birth or is observed a few months post birth. It generally improves in a couple of months. If this does not improve, these babies usually require an open pyeloplasty procedure to correct the defect.
  • Older adults: Obstruction to urine flow can be acquired in later life due to multiple factors which require a laparoscopic pyeloplasty to remove the obstruction.
  • You may need to visit your ureteropelvic junction obstruction specialist when:
  • You have painful urination 
  • Feeling of bloating at times
  • Frequency of urination increases or decreases

Request an appointment at Apollo Spectra Hospitals, Nehru Enclave, Delhi.

Call  1860 500 2244 to book an appointment.

What are the different types of pyeloplasty?

Pyeloplasty may be performed in two ways depending on the onset of symptoms:

  • Open pyeloplasty: A moderately large incision is made to view all organs inside your abdomen. This approach is usually taken for newborn babies and infants diagnosed with renal obstruction.
  • Laparoscopic pyeloplasty: A small incision is made to insert a tiny camera called a scope that helps your laproscopic surgeon view your inner organs on a monitor. It is done for older adults.

What are the benefits?

  • Higher success rate
  • Faster recovery
  • Fewer complications

What are the complications?

  • Every surgery has minor complications like pain, infection or oozing around the surgical site for a few days.
  • Other rare complications include:
  • Hernia or bulging out of abdominal organs through the weak scar tissue
  • Abdominal infection
  • Persistent pain on coughing or straining the abdomen

Conclusion

Pyeloplasty done in babies or adults has a success rate of 85% but the obstruction can occur again in a few cases due to excessive scarring of the repaired urinary tube in the long run. Some rare complications, such as bleeding, chest pain and excessive pain around your abdomen, can get you readmitted to a hospital.

I'm having difficulty in urinating post pyeloplasty. Why is this happening?

Difficulty in urinating is common and completely normal post pyeloplasty as the urinary system is healing with some inflammation that may last for a few days.

My son has undergone a pyeloplasty. He does not eat much. What should I do?

As with any other surgery, you may have loss of appetite and weakness post pyeloplasty. Start a fluid diet to help the body stay hydrated and adjust itself to the new normal. You may also consult a dietitian.

When can I resume work after my pyeloplasty surgery?

You may begin light work by the end of two weeks and drive to work by the third week after consultation with your ureteropelvic junction obstruction specialist.

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