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While we wait for an expert to respond, I wanted to provide some information, and learn more about how your daughter is doing.

What specific type of operation did she have, for instance: laparoscopic pyeloplasty, open pyeloplasty, endopyelotomy, endopyeloplasty, or robotic-assisted laparoscopic pyeloplast?

According to, eMedicine: UPJ Obstruction follow up,"open and laparoscopic pyeloplasty yield long-term success rates that exceed 95%. The success rate for endopyelotomy approaches 80-90%."

According to, Ureteropelvic Junction Obstruction, Causes, Treatment - Pediatric Urology - Urology Channel,
"Patients require follow-up care for several years following pyeloplasty. Tests to evaluate kidney function are performed regularly (6 months to 1 year).

UPJ Obstruction Prognosis
The success rate for patients who undergo pyeloplasty is higher than 95%.

Prevention of UPJ Obstruction
Ureteropelvic junction obstruction cannot be prevented."

What have her own doctors told you about her recovery, and any future operations that may be needed? Did they provide information about further surgery or medications to help with drainage? I also read that imaging results may be different than actual functioning of the kidneys, and although an Xray may show blockage, if the kidney is draining properly, no treatment would be suggested, and patient would be monitored.

Is this a congenital condition, or is there another known cause?

You can find some helpful information:
- Childrens Hospital Boston: Hydronephrosis
- ureteropelvic junction (UPJ) obstruction (also known as pelviureteric junction obstruction (PUJO))
-
UPJ Obstruction: Treatment
- UPJ Obstruction: Follow Up

November 16, 2010 - 1:58pm

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