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Pyeloplasty Treatment

A human kidney comprises millions of nephrons that filter blood and produce urine. The urine created by all nephrons drains collectively into the pelvis region of the kidney. From there, the urine flows to the bladder with the help of tiny tubes called ureters. Some humans experience an obstruction in the ureteropelvic junction. The ureteropelvic junction (UPJ) is the area where the urine leaves the kidney to flow down the tube (ureter) to reach the urinary bladder. This region is where blockages more often happen because of either an abnormality in the development of the ureter or external pushing or blocking on the UPJ by another body part. With the stoppage of urine flow in the bladder from the kidney, there is a resulting hydronephrosis condition- swollen kidneys due to urine build-up.

Pyeloplasty Surgery in Hyderabad at Arete Hospitals can help treat the obstruction and enable easy urine flow from the kidney to the bladder.  

The urology department of Arete Hospitals, staffs some of the best surgeons and urologists in Hyderabad who have extensive training and experience in performing all types of pyeloplasty. The department is well equipped with the best surgical robotic system and the latest laparoscopic surgery equipment to perform supra-major and complex surgeries.

Benefits of Pyeloplasty

Pyeloplasty has the highest success rate in contrast to other surgical alternatives for the treatment of obstruction of the ureteropelvic junction. It can help improve the functioning of the kidney with blockage and protect it from damage, thereby not letting another kidney become overstressed. A successful pyeloplasty can help a child avoid urinary tract infections and pain later on. To get to know more on ureteropelvic junction (UPJ) treatment in Hyderabad make a visit to Arete Hospitals.

What is Pyeloplasty Surgery?

Pyeloplasty is a surgical procedure to remove a blockage in the ureteropelvic junction and allow urine to easily reach the bladder.

A pyeloplasty surgery is performed by Pyeloplasties Doctors in Hyderabad and it may involve cutting out the blocked region of the abnormally developed ureter. In the case where a blood vessel is crossing over the top of the ureter and narrowing some section of it, a pyeloplasty surgery would differ. It will involve cutting the ureter and pulling it out from behind the blood vessel and reconnecting it over the top of the blood vessel so that urine flow is no longer obstructed. The surgery is planned ahead of execution and is generally not performed as an emergency operation.

Before Pyeloplasty Surgery

To prepare for the surgery, the patient is not allowed to eat or drink anything for a specific time assigned by the urologist or surgeon. The patient should not take medications or supplements before the procedure without asking the urologist.

Blood thinners or any other drugs that affect the blood clotting process are not advised to be taken before surgery. Furthermore, the patient needs to sign a consent form, go over the procedure with the anaesthesiologist, and follow the instructions that the hospital provides.

While preparing for the surgery, the patient should inform the urologist or surgeon about:

  • Family or personal history of bleeding disorders
  • Any known allergies to anaesthesia or drugs
  • Intake of medications or supplements.

The urologist or surgeon also requests the patient for the following tests to confirm their candidacy for surgery and also to plan out the procedure:

  • Preoperative urine culture test and urinalysis
  • Test to check blood count, basic metabolic panel testing, and chest radiograph
  • Imaging tests to assess the severity of hydronephrosis
  • A nuclear medicine renal scan with furo-semide washout to assess the degree of blockage.

What Does Pyeloplasty Involve?

Pyeloplasty is performed on a patient who receives general anaesthesia. It may be performed by three approaches:

Open surgery- In this invasive operation, the urologist or Pyeloplasty Surgeon in Hyderabad makes a cut a few centimetres wide just below the ribs of the patient. Next, they pull aside the skin to view and work directly on the patient. They remove the obstructed section of the ureter and reattach a normal calibre ureter to the patient’s renal pelvis. Then, they may place a small external drain- a tube to pass urine directly from the affected kidney to the outside of the body. This drain is kept in place until both the kidney and ureter heal, usually a few days to weeks after surgery. This type of surgery is usually performed on young babies or infants.

Laparoscopic surgery- This is a minimally invasive surgery as it involves making multiple keyhole incisions of a few millimetres in the belly. The urologist or surgeon inserts a laparoscope into the incisions and operates inside using surgical instruments. A laparoscope is a long, thin tube with a camera and surgical tools at one end. During this surgery, the urologist or surgeon places a stent into the urine tube to help the tube heal better. The stent is not removed for several weeks following surgery. This type of surgery is recommended for older children, adolescents, and adults with ureteropelvic junction obstruction.

Robotic surgery- It involves making several incisions of several millimetres wide in the belly region. The urologist or surgeon utilises 3-4 robotic arms controlled by computer software to move the small surgical tools underneath the skin and do the surgery more accurately with better outcomes. The robotic arms help in fixing the UPJ blockage by removing the narrow/scarred portion and reconnecting the normal tissue. It is recommended to only older children and adult patients.

To get the benefits of Laparoscopic & Robotic Pyeloplasty in Hyderabad, one can schedule a visit with the experts at Arete Hospitals.

Good Candidates for Pyeloplasty

  • Adults, older children, and teenagers with obstruction of the ureteropelvic junction.
  • Infants whose condition is not improving within 18 months.
  • Individuals who experience UPJ obstruction with the presence of obstructed scintigraphic, reduced renal function or upper renal tract infection, or calculi, clinical symptoms like recurrent infections and flank pain.

Non-suitable candidates for pyeloplasty are those having:

  • Coagulation disorder
  • Non-functional kidney
  • Acute urinary tract infections
  • Comorbidities that may affect the outcome of pyeloplasty surgery.

After Pyeloplasty Surgery Discharge

During recovery patient should follow these urologist-recommended aftercare instructions:

  • Keep your body in movement, but avoid doing any strenuous activity.
  • Drink adequate water daily.
  • Take only showers followed by pat drying. Do not take baths to avoid infections.
  • Take prescribed antibiotics to prevent infections.
  • Go for short walks right after the operation but avoid heavy weight lifting and going to work for 4-6 weeks.
  • Go for a follow-up visit after several weeks of surgery for the removal of the stent and to check for swollen kidneys.

Pyeloplasty Surgery Cost in Hyderabad

The cost of pyeloplasty in Hyderabad varies among patients based on the following factors:

  • Type of surgery procedure performed
  • The surgeon’s expertise and experience
  • Patient age and condition
  • Length of hospital stay
  • Anaesthesia fees
  • Approval by insurance companies or corporates for cashless facility.

Effectiveness of Pyeloplasty

Pyeloplasty is reported to be 85% to 100% effective and successful for patients with ureteropelvic junction obstruction. As per one research study, open pyeloplasty surgery was found to have a success rate of 90% in young babies or infants in long-term follow-up findings. On the other hand, the overall success rate of laparoscopic pyeloplasty was found to be 87.7% as per three years follow-up findings. Contact Arete Hospitals experts to learn more on Laparoscopic Pyeloplasty Surgery Cost in Hyderabad.

Risks Associated with Pyeloplasty

  • Extra bleeding from the operation site
  • Risks of getting anaesthesia
  • Infection
  • Scarring
  • Blood clots
  • Hernia
  • Need for additional surgeries if there is a recurrence of obstruction
  • Urine leakage from the site where kidneys join ureters
  • Damage or injury to surrounding organs including stomach, small intestine, large intestine, liver, spleen, pancreas, ovary, fallopian tube, urinary bladder, and major blood vessels
  • Conversion from laparoscopic to open surgery.
Frequently Asked Questions

1. Why Choose Arete Hospitals for pyeloplasty surgery?

The Best Pyeloplasty Specialists in Hyderabad at Arete Hospitals have the expertise to perform pyeloplasty, which can help correct a blockage or narrowing of the junction between the renal pelvis and the ureter. The hospital is equipped with advanced medical technologies and state-of-the-art surgical facilities, ensuring that patients receive the latest and most effective treatments available. Also the medical experts offer comprehensive care throughout one’s pyeloplasty treatment journey. From pre-operative assessments to post-operative follow-ups, the doctors and team of experts are committed to patient well-being at every step.

2. How long does pyeloplasty last?

The typical length of pyeloplasty is about 3 hours. Laparoscopic or robotic-assisted laparoscopic pyeloplasty might last for 3-4 hours.   

3. Is pyeloplasty an inpatient or an outpatient procedure?

The UPJ obstruction can affect people of any age and gender, hence this is performed based on medical necessity rather than the gender or age of the patient. Also, it is an inpatient procedure. The patient would need a hospital stay of 1-2 days after pyeloplasty.

4. Is pyeloplasty painful?

Some degree of pain can be felt by the patient following the operation. The pain or discomfort may resolve in a week post-surgery. The urologist may prescribe painkillers for relief. As compared to open surgery, the pain or discomfort is minimal with the advanced, minimally invasive technique- laparoscopy.

5. How much time does it take to recover from pyeloplasty?

The patient may have to wait for 2 weeks for their surgical wounds to heal and up to 8 weeks to completely recover from pyeloplasty.

One can visit Arete Hospitals to undergo the Best Pyeloplasty Surgery in Hyderabad. At the hospital, the surgery is performed by an experienced urologist with vast experience in diagnosing and treating urinary tract conditions and disorders. 

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