To treat UPJ Obstruction (congenital or acquired)
Prevent hydronephrosis and kidney damage
Relieve chronic flank pain or urinary tract infections
Improve urinary flow and preserve kidney function
Correct anatomical abnormalities
Types of Pyeloplasty
🔹 Open Pyeloplasty – Traditional approach through a small incision
🔹 Laparoscopic Pyeloplasty – Minimally invasive with faster recovery
🔹 Robotic-Assisted Pyeloplasty – Enhanced precision and reduced trauma (if available)
Surgical Steps of Pyeloplasty
Here is a step-by-step breakdown of a standard laparoscopic pyeloplasty:
- Anesthesia: The patient is placed under general anesthesia for a painless procedure.
- Positioning: The patient is positioned in a lateral (side) position for optimal kidney access.
- Trocar Insertion: Small keyhole incisions are made, and laparoscopic ports are placed.
- Exposure: The kidney and ureteropelvic junction are visualized using a camera and surgical instruments.
- Identification of Obstruction: The narrowed or blocked segment at the ureteropelvic junction is carefully isolated.
- Excision of Narrowed Segment: The obstructed portion is cut and removed.
- Reconstruction: The healthy ends of the ureter and renal pelvis are stitched together (anastomosis) to restore free urine flow.
- Stent Placement: A temporary internal stent (DJ stent) is inserted to keep the new connection open during healing.
- Closure: All instruments are removed, and incisions are closed with minimal sutures.
- Recovery: Most patients are discharged within 2–3 days and stent is removed after 3–6 weeks.
Trusted Surgical Expertise
Performed by a highly trained and experienced urology specialist with 12+ years of hands-on success, this procedure is carried out with advanced imaging, laser tools, and minimal-access techniques, ensuring optimal kidney preservation and patient safety.
