Monday, 30 January 2017

Laparoscopic Pyeloplasty

UPJ obstruction meaning Ureteropelvic junction (UPJ) obstruction is a blockage at the point where part of the kidney attaches to one of the tubes that carry urine from the kidney to the bladder (also called ureters scientifically). This blocks the flow of urine out of the kidney.


 Causes of Ureteropelvic junction (UPJ) Obstruction

  1. Congenital Condition                                                                                                                     This may be present when the baby is growing in the womb, therefore a baby may have it when its born as congenital condition. A narrowing may be seen in the renal pelvis (part of the kidney) and the ureter (the tube that carries urine from kidney to the bladder). These days however, in majority of cases this can be detected through ultrasound tests during pregnancy.
  2. Abnormal blood vessel over the ureter
  3. Older children and adults may have scar tissue, infection or prior treatments for a blockage or stone in the kidney.

Prognosis

An obstruction in the ureter detected early on goes a long way in preventing further damage to the kidney. However, a UPJ obstruction diagnosed before or immediately after birth might actually improve on its own.


The obstruction may lead to serious consequences and damage to kidney if diagnosed later in life. However, present treatments offer long term solutions. Laparoscopic Pyeloplasty having the best long term success.

Likely Complications


1.    Deterioration or permanent loss of kidney function (kidney failure).

2.    Kidney stones or infection may occur in the affected kidney, even after treatment.

The Treatment - Laparoscopic Pyeloplasty


This is a reconstructive surgery to correct the narrowing, blockage or scarring of the ureter at a point where it leaves the kidney. The procedure takes 3-4 hours to perform and is carried out under general anaesthesia. Following the surgery, a stent is put in place for healing and to support and protect the pyeloplasty repair.  This is removed 4-6 weeks following the surgery by the doctor. You should expect to be in the hospital for around three days depending on your recovery rate. At Aastha Kidney Hospital we have specially skilled surgeons who have performed over 50, 000 surgeries. The Hospital devotes itself to committed healthcare with rapid, accurate diagnosis and immediate, effective treatment for a wide range of urological and genital problems for both males and females.




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