UPJ Obstruction Information
UPJ Obstruction Information
UPJ obstruction is a blockage to the flow of urine from the renal pelvis (part of the kidney) into the ureter (pipe that drains urine from the kidney to the bladder). While there are many causes it is usually the result of a congenital abnormality. Congenital UPJ obstruction is one of the most common congenital abnormalities of the ureter.
UPJ Obstruction Symptoms
UPJ obstruction can become symptomatic at any age in life. The classic symptom is flank pain. The pain may be aggravated by ingestion of coffee, alcohol or diuretics (e.g. fruosemide).
Diagnosis of UPJ Obstruction
Various x-rays are performed to diagnosis UPJ obstruction. These may include ultrasound, intravenous pyelogram, CT scan and MAG 3 radio nucleotide scan. The x-ray tests can usually diagnose UPJ obstruction as well as determine how well the affected kidney functions.
Treatment of UPJ Obstruction
Pyeloplasty:
Pyeloplasty is the gold standard surgical procedure for correction of UPJ obstruction. It has a success rate of 90%. The operation involves removing the blocking segment and rejoining the renal pelvis to the ureter. It has traditionally been performed by open surgery but can now be performed with state of the art Robotic surgery.
Benefits of Robotic Pyeloplasty compared with Open Pyeloplasty:
- Smaller incisions (3-5 keyhole incisions)
- Less blood loss with no need for blood donation or transfusion
- Less pain
- Less narcotic usage
- Earlier discharge home (typical 24 hour stay for patient)
- Earlier ambulation
- Faster recovery
- Earlier removal of ureteric stent (2-3 weeks post operatively)
Here at the Global Robotic Institute, we have your best interests in mind. Our leading surgeons at work, dedicated staff and state-of-the-art facilities offer the most advanced procedures in a compassionate environment. Our robotic surgical team is one of the world’s most knowledgeable teams. Lead by Dr. Vipul Patel, the most experienced robotic surgeon in the world, has personally performed over 500 minimally invasive kidney robotic surgeries and over 2,000 robotic procedures. Dr Patel has one of the largest published experiences world wide for Robotic Pyeloplasty.
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