Pyeloplasty has the best success for patients with UPJ obstruction. After laparoscopic pyeloplasty, there may be scarring in the abdomen area. Typically, the obstruction will not come back but that is possible.
UPJ obstruction can be treated with surgery called a pyleoplasty. Sometimes this is treated very early inlife to prevent failure or injury of the kidney. Surgery is not required for all patients. Surgery is usually minimally invasive and is known as pyeloplasty. The process takes a few hour. The portion of the ureter that is scarred or blocked by a another vascular structure is removed or repaired. The normal ureter is then reattached to the renal pelvis of the kidney. A stent is left in the ureter until the repair is healed, usually 2-4 weeks.
What happens after pyeloplasty surgery?
- Patients will stays overnight for 1-2 days
- The ureter is swollen and this may cause some discomfort.
- The stent is removed in 2-4 weeks in the clinic during a procedure called a cystoscopy. The doctor will place a small flexible camera into the bladder through the urethra and remove the stent.
Risks for patients after surgery could be urinary tract infections or kidney stones.