PROCEDURES
URETER
PYELOPLASTY FOR UPJ OBSTRUCTION
URETERONEOCYSTOSTOMY
URETERIC STENTING FOR STONE DISEASE
URETEROSCOPY FOR STONE DISEASE
PYELOPLASTY FOR UPJ OBSTRUCTION
OVERVIEW
Pyeloplasty is a procedure that is performed for the treatment of Uteropelvic Junction (UPJ) obstruction. UPJ obstruction is a condition in which the flow of urine out of the kidneys into the ureter is blocked. This blockage either stops or slows the flow of urine from the kidney, which causes the urine to build up and damage the kidney by making the kidney swell up. The obstruction may be caused by an infection, as well as kidney stones, scar tissue or as the result of a congenital defect.
Pyeloplasty is done under general anaesthesia. Dr Singh will pass a scope into the bladder and do an x-ray to view and confirm the site of the obstruction. During the procedure, Dr Singh will make an incision below the ribs, and remove the obstructed section of the ureter. The healthy part of the ureter is then carefully attached to the renal pelvis.
Dr Singh will place a hollow tube that runs from the kidney to the bladder, called a ureteral stent. The stent is inserted to aid the drainage of fluid from the kidney until the site of surgery has healed. It is temporary and is removed in Dr Singh's office after 4-6 weeks after surgery.
After surgery, you will be sent to the recovery room with a catheter, a tube that drains urine from your bladder, so that your urine can be monitored closely. The catheter is normally removed after 2 to 4 days. The stent may cause some irritation, which may lead to frequent urination, urgency or pain when urinating. These symptoms improve with time and disappear once the stent has been removed.
You should avoid exercising and heavy lifting for at least eight weeks after surgery. You will only be able to go back to your normal routine after 2 to 3 months.