Pyeloplasty Treatment & Diagnostics in Chembur, Mumbai
Pyeloplasty
Pyeloplasty is a surgery that helps correct ureteropelvic junction (UPJ) obstruction. It is a procedure that both adults and children undergo.
The surgery is perhaps the safest treatment option for UPJ obstruction. You or your child may experience some pain during the surgery, but it usually goes away after a week.
What is pyeloplasty?
Pyeloplasty is a surgical way to remove a blockage or narrowing of the ureter where it leaves the kidney. The condition is also known as ureteropelvic junction (UPJ) obstruction.
A general surgeon or urologist performs the surgery. The surgery aims to improve the poor drainage of urine from the kidney and decompress it.
General anesthesia is administered for this procedure. The surgeon then makes three small incisions on the abdomen. Instruments are inserted into the stomach through these incision points.
The doctor then uses a small plastic tube (stent) at the end of the surgery to help drain the kidney. The stent remains for a few weeks, after which the surgeon removes it.
To get more details, you can consult a urology doctor near you or visit a urology hospital near you.
Why is pyeloplasty done?
Infants may need a pyeloplasty if they are born with UPJ obstruction and it does not get better in more than 18 months.
Adults or older children may also need surgery in case they get UPJ obstruction.
When do you need to see a doctor?
If you have been witnessing the symptoms of UPJ obstruction, you may consider consulting a doctor. Symptoms may include:
- Urinary tract infection
- Abdominal mass
- Vomiting
- Blood in urine
- Poor growth in infants
- Flank pain in the affected area
You can request an appointment at Apollo Spectra Hospitals, Chembur, Mumbai.
Call 1860 500 2244 to book an appointment.
What are the benefits of pyeloplasty?
It is a minimally invasive procedure with lower chances of complications as it has a higher success rate. The patient has to go through a shorter hospital stay, less blood loss, reduced pain and fewer transfusions in pyeloplasty. Compared to open surgery, it also has a shorter recovery time.
What are the possible complications?
Even though pyeloplasty is the most effective procedure to repair UPJ obstruction, it can have possible complications like any other surgery. Here are some:
- Bleeding: Typically, people experience a small amount of bleeding during this procedure. But if you want to donate blood before surgery, you must tell your surgeon about it.
- Infection: With any surgery, there are chances of infection at the site of incisions. Possibilities of it are small, but if you see symptoms, you must consult your surgeon immediately.
- Recurrence of kidney obstruction: Even though the surgery is effective, there is little chance of recurrence of UPJ obstruction. If this happens, doctors may suggest removing the kidney.
- Hernia: Although rare, there are chances of a hernia at the site of the incision.
- Persistent pain: Some people experience pain even after the resolution of the obstruction.
Conclusion
If you face UPJ obstruction, you may either need a pyeloplasty or open surgery. It is best to talk to your doctor about it. They can tell you which one is the most suitable for your case.
The surgery takes about three hours, and after that, you may have to stay at the hospital for a day or two. It becomes essential to follow your healthcare provider's instructions after discharge.
You can shower if you make sure to pat yourself dry afterward. After four to six weeks, you can also start lifting weights.
Here are few things you can expect after the surgery:
- Nausea: It is common to get nauseous after a surgery that takes place under general anesthesia. Medication can bring this under control.
- Urethral stent: After the surgery, the doctor will place a stent to help drain urine from the kidney. Doctors remove it after approximately four weeks.
- Urinary catheter: It helps drain the bladder till the time you can walk properly. After that, the nurses remove it.
- Pain: You may experience pain at the site of the incisions after the surgery. The doctor will probably prescribe pain medication to keep it under control.
It is successful in almost all people. It is a safer option than open surgery.
Almost all the people who suffer from UPJ obstruction can get pyeloplasty. But here are a few things that can prevent people from being good candidates for it:
- Medical history of extensive abdominal surgeries, especially kidney surgeries
- People who have excessive scarring around the kidney. These people are better candidates for open surgery.
- People with severe medical conditions like heart diseases
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