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UPJ Obstruction

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, led by Dr. Vipul Patel, is one of the world's most experienced teams, having performed nearly 12,000 robotic-assisted surgeries. 

For more kidney cancer information or to discuss this revolutionary Laparoscopic or Robotic Assisted Laparoscopic Radical Nephrectomy, contact our caring professionals at AdventHealth.