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Laparoscopic Pyeloplasty

What is Laparoscopic Pyeloplasty?

Laparoscopic Pyeloplasty is a Minimally Invasive Laparoscopic procedure which relieves the obstruction between the ureter and the kidney at the ureteropelvic junction (UPJ). Laparoscopic Pyeloplasty relieves the obstruction in the upper part (renal pelvis) of the ureter.

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Where can I get Laparoscopic Pyeloplasty?

Country Cost with MedSolution
India (Please inquire for price)
Cost of procedure performed in the US: $10,000 to $20,000.
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.

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Why is Laparoscopic Pyeloplasty performed?

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 cause it to kink or a stone that gets impacted in the upper part of ureter. This can cause damage to kidney tissue and eventually lead to pain, stones, infection, high blood pressure, deterioration of kidney function and kidney failure. Laparoscopic Pyeloplasty is the procedure of choice to relieve all these symptoms.

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Who is an ideal candidate for Laparoscopic Pyeloplasty?

If you have obstruction of the ureteropelvic junction (UPJ) which can be caused by congenital abnormalities 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 Laparoscopic Pyeloplasty.

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How do I prepare for Laparoscopic Pyeloplasty?

A thorough pre-operative assessment by your urologist would comprise of physical examination, urinalysis for the presence of blood and white cells, urine culture for infection are performed. Inform your surgeon about your other health conditions and medications that you take (including all the prescription, non-prescription medications, nutritional supplements i.e. vitamins, minerals and herbal products). Refrain from taking aspirin or Ibuprofen at least 2 weeks before Laparoscopic Pyeloplasty. Stop smoking a few weeks before Laparoscopic Pyeloplasty to prevent healing problems during recovery period. Do not eat or drink any thing for at least 10 - 12 hours before the Laparoscopic Pyeloplasty.

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What does the procedure for Laparoscopic Pyeloplasty involve?

Laparoscopic Pyeloplasty is performed under general anesthesia. Three small incisions (about 1 - 1.5 cm) are made near the umbilicus, a Laparoscope is inserted through the incision, the ureteropelvic junction (UPJ) is relieved of it's cause of obstruction and a stent is inserted inside the ureter at the ureteropelvic junction (UPJ) to keep it patent, bridge the pyeloplasty repair and help drain the kidney. The entire procedure of Laparoscopic Pyeloplasty takes about 3 - 4 hours. A catheter will be placed in your bladder to drain the urine for the next few days.

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What is the recovery period like following Laparoscopic Pyeloplasty?

You will spend the next few hours following Laparoscopic Pyeloplasty, in the recovery room to monitor your vital signs and observe for any immediate post-operative complications. You will be hospitalized for 24 - 48 hours following Laparoscopic Pyeloplasty. Pain medication and antibiotics will be given post-operatively. The stent will be removed 4 - 6 weeks after Laparoscopic Pyeloplasty. Avoid performing strenuous activities like lifting something heavy, jogging, treadmill or playing sports for at least 2 weeks after Laparoscopic Pyeloplasty. 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 Laparoscopic Pyeloplasty.

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What is the outcome of Laparoscopic Pyeloplasty?

Laparoscopic Pyeloplasty almost has a success rate of 95%, 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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B . R . A . N . D . of Laparoscopic Pyeloplasty

Benefits of Laparoscopic Pyeloplasty

  • Short hospital stay
  • Quicker recovery
  • Less pain during post-operative period following Laparoscopic Pyeloplasty
  • Less need for pain medication
  • Quicker return to normal activity and work
  • Smaller incisions and less scarring

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Risks of Laparoscopic Pyeloplasty

  • Failure of the operation
  • Excessive bleeding
  • Infection (at the operation site or the urinary tract)
  • Injury to other organs and tissues

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Alternatives of Laparoscopic Pyeloplasty

  • Dilatation - Balloon dilatation by threading a balloon up your urinary bladder using a Cystoscopic technique.
  • Endopyelotomy - This is an endoscopic procedure to cut the narrowed portion with the help of an endoscope. The kidney is either approached through the side (Antegrade Endopyelotomy) or through the urinary bladder (Retrograde Endopyelotomy).
  • Open Pyeloplasty - In this procedure, an incision is made under the rib cage, the obstructed and narrowed part of the ureteropelvic junction is removed and the two ends are sewn back together.

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Now or Never

  • Laparoscopic Pyeloplasty has a high success rates and lower morbidity. However, it is a technically challenging surgery and and is currently limited to major medical centers. Laparoscopic Pyeloplasty has evolved to be the new 'Gold Standard' for the treatment of UPJ obstruction.

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Decision to have Laparoscopic Pyeloplasty

  • Laparoscopic Pyeloplasty is a Minimally Invasive procedure that requires a shorter hospital stay, quicker recovery and 95% success rate. Laparoscopic Pyeloplasty has been mastered by several urologic surgeons and is the treatment of choice for UPJ obstruction.

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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

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