Pyeloplasty

Pyeloplasty is a surgical procedure to correct a condition known as Ureteropelvic Junction Obstruction (UPJO). This condition is characterized by a blockage at the point where the kidney's pelvis connects to one of the tubes (ureter) that move urine to the bladder. Pyeloplasty is performed to remove the blockage and to reestablish normal urine flow.

Indications

Pyeloplasty is indicated in patients with UPJO who present with symptoms such as pain, kidney stones, recurrent urinary tract infections, or deterioration of kidney function. It may also be performed in asymptomatic patients if there is evidence of progressive renal damage.

Procedure

The procedure involves the removal of the obstructed segment of the ureteropelvic junction and the reconstruction of the renal pelvis. This can be done through open surgery, laparoscopic surgery, or robot-assisted surgery. The choice of technique depends on the patient's condition and the surgeon's expertise.

Risks and Complications

As with any surgical procedure, pyeloplasty carries risks including infection, bleeding, damage to surrounding organs, and anesthesia complications. Specific to this procedure, there may be a risk of recurrent or persistent obstruction, or the development of a urinary fistula.

Postoperative Care

Postoperative care includes pain management, prevention of infection, and monitoring for complications. Patients may also require follow-up imaging studies to ensure the successful resolution of the obstruction.

See Also

• Ureteropelvic Junction Obstruction
• Kidney Stones
• Urinary Tract Infections
• Laparoscopic Surgery
• Robot-Assisted Surgery

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