PYELOPLASTY LAP AND OPEN
Pyeloplasty reconstructs the narrowed pelvi-ureteric junction to restore drainage from the kidney into the ureter. The surgical approach is selected according to age, anatomy, previous surgery and clinical circumstances.
Common Symptoms
Flank pain; recurrent urinary infection; blood in urine in selected cases; impaired drainage or kidney function in significant obstruction.
Causes of PYELOPLASTY LAP AND OPEN
Pelvi-ureteric junction obstruction may be congenital or develop after previous inflammation, surgery or other causes.
Risk Factors
Congenital narrowing; crossing blood vessels; previous surgery or scarring; urinary tract abnormalities.
Diagnosis
Ultrasound; functional renal scan; CT or other imaging when indicated; urine and blood tests.
Treatment Options
Laparoscopic pyeloplasty; open pyeloplasty; selected non-surgical approaches in specific situations.
Benefits of Treatment
Restores urinary drainage; relieves obstruction; may preserve kidney function when treated appropriately.
Recovery & Aftercare
Recovery varies by approach. A temporary ureteric stent is commonly used and is removed later as advised.
Prevention
Regular follow-up imaging; prompt treatment of urinary infection; maintain adequate hydration as advised.
Possible Complications
Infection; bleeding; urine leakage; recurrent narrowing; need for further intervention in selected cases.
When Should You Consult a Doctor?
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