Synonym: Percutaneous Endopyelotomy
Endopyelotomy is an endoscopic procedure to treat ureteropelvic junction (UPJ) obstruction. The kidney is either approached through the Percutaneous Nephrostomy tube (from the side i.e. Antegrade Endopyelotomy) or through the urethra and urinary bladder (Retrograde Endopyelotomy). Endopyelotomy relieves the obstruction in the upper part of the ureter called the renal pelvis.
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All prices are in US dollars and include the cost of the procedure and minimum hospital stay. Estimates and minimum hospital stay will vary depending upon individual needs and requirements.
Obstruction of the ureteropelvic junction (UPJ) can be caused by congenital abnormalities like horseshoe kidney, fibrous scarring due to stone or previous operation, a blood vessel which may kink the UPJ or a stone that gets impacted in the upper part of ureter. This can cause damage to kidney tissue and eventually lead to pain, stone formation, infection, high blood pressure, deterioration of kidney function and eventually kidney failure. Endopyelotomy is a popular procedure to relieve all these symptoms.
If you have obstruction of the ureteropelvic junction (UPJ) which can be caused by birth defects of the kidney like horseshoe kidney, fibrous scarring due to stone or previous operation, or if you have a blood vessel which may cause your ureteropelvic junction (UPJ) to kink or if you have a stone that gets impacted in the upper part of ureter, then you are an ideal candidate for Endopyelotomy.
A thorough pre-operative assessment by your urologist would comprise of physical examination, Intravenous Pyelogram (IVP), urinalysis for the presence of blood and white cells and urine culture for infection are performed. Inform your surgeon about your other health conditions and medications (including all the prescription, non-prescription medications, nutritional supplements i.e. vitamins, minerals and herbal products) that you might be taking. Refrain from taking aspirin or Ibuprofen at least 2 weeks before Endopyelotomy. Stop smoking a few weeks before Endopyelotomy to prevent healing problems during recovery period. Do not eat or drink any thing for at least 10 - 12 hours before the Endopyelotomy.
Two approaches are commonly used for Endopyelotomy, both these techniques are performed under general anesthesia. You will be required to stay in the hospital for 2 days following the Endopyelotomy procedure:
You will spend the next few hours following Endopyelotomy, in the recovery under observation for your vital signs and immediate post-operative complications. You will be hospitalized for 24 - 48 hours following Endopyelotomy. Pain medication and antibiotics will be given post-operatively. In case of Antegrade Endopyelotomy, the Nephrostomy tube will be removed after 2 weeks. Avoid performing strenuous activities like lifting something heavy, jogging, treadmill or playing sports for at least 2 weeks after Endopyelotomy. You will be instructed to move around, avoid getting constipated, do some very simple breathing exercises to help prevent respiratory infections. You will be able to perform all your routine daily activities in about 2 - 4 weeks time after Endopyelotomy.
Endopyelotomy almost has a success rate of 82 - 86%, there is reduced hospital stay (one day in younger, healthy patients), faster healing and quicker return to normal activity and work.
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Keywords: Ureteropelvic Junction (UPJ), Congenital abnormalities of Kidney, Horseshoe Kidney, Kidney Function, Kidney Stones, Renal Hypertension, Intravenous Pyelogram (IVP), Urinalysis, Minimally Invasive Surgery, Laparoscopic Procedure, Kidney Stones, Bladder Stones, Cystitis, Urinary Tract Infection, Hematuria (Blood in urine), Urethral Stricture, Ureteroscope, Cystoscope, Intravenous Pyelography (IVP), Urinary Incontinence, Overactive Bladder, Urinalysis, Bladder Catheter, Kidney Operation, Painful Urination, Pelvic Pain, Interstitial Cystitis, Urinary Blockage, Narrowing of the Urinary Tract, Stone in the Urinary Tract, Bladder Cancer, Bladder Biopsy, Kidney Tumor, Minimally Invasive Procedure