Pyeloplasty is a surgery to repair the kidney. In this surgery, the renal pelvis and its connection to the ureter are repaired. The renal pelvis is a funnel-like structure in the kidney. It connects the kidney to the ureter. The ureter is a tube that carries urine to the bladder.
During open surgery, an incision will be made in your side. The doctor will reconstruct the renal pelvis to remove the blockage. The blocked section of the ureter will be removed. The remaining healthy sections of the ureter will be re-attached. The incision in the skin will then be closed with stitches.
In the laparoscopic version, the doctor will use special tools and tiny incisions. The other steps are the same as the open procedure.
In some surgeries, a temporary tube (stent) may be placed in the ureter to help urine pass.
How Long Will It Take?
About 2-3 hours
How Much Will It Hurt?
Anesthesia will block pain during the surgery. Minor pain following surgery is treated with medicine.
Average Hospital Stay
The usual length of stay is 2-3 days. Your doctor may choose to keep you longer if complications arise.
At the Hospital
You will receive pain medicine to ease discomfort after surgery. You may also have some discomfort while urinating for the first few times following surgery. It is common to feel a frequent need to urinate.
If you are sent home with a drain or catheter, it may be removed one week after surgery. If no catheter was used, a follow-up appointment should be scheduled for 4-6 weeks after surgery.
If you are given antibiotics, you need to take the full course. Do not stop early. Be sure to follow your doctor’s
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding or any discharge from the incision site
Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
Pain that you cannot control with the medicines you have been given
Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a