Pyeloplasty Treatment in Bangalore

Treatment is provided for disorders like kidney stones, kidney failure, bladder stones, diseases of the prostate gland, male infertility, erectile dysfunction and urinary incontinence and more…

Pyeloplasty – Apollo Hospitals, Karnataka

A kidney, where urine is stored, is composed of millions of tiny cells called nephrons, where impure blood is filtered. The urine drains into the renal pelvis, the initial part of the ureter. Sometimes the renal pelvis and the ureter junction narrows or kinks, obstructing urine flow.

As a consequence, there is an accumulation of urine in the nephrons, which causes the renal pelvis to enlarge. This disease is referred to as hydronephrosis. Congenital disorders can include this one. The pyeloplasty technique aids in removing this blockage and ensuring uninterrupted urine flow.

We at Apollo Hospitals, Karnataka, diagnose and then recommend the most optimum treatment plan. Our experienced doctors assess your medical reports, past medical history, age, and many more, to come to a conclusion and decide which surgery you might need to undergo.

What are the Types of Pyeloplasty?

There are various pyeloplasty procedures based on the surgical method used & incision patterns adopted.

Open Pyeloplasty

The cut can be performed in the lower spine, right below the 12th rib, throughout the abdomen, or in the flank area. This is the most popular conventional method. Each time, a lengthy cut is made, exposing the muscles, interstitial tissue, and skin until the kidney can be seen. The ureter is then rejoined to the renal pelvis after the constricted section of the connection is cut and removed. Sometimes a stent is inserted in the narrowed area to maintain the space for simple urine drainage. Muscles, skin, and other tissues are sewn together after the surgery. The patient must stay in the hospital for three to four days, and the recuperation time ranges from one to three months.

The excellent ureteropelvic junction exposures, the fact that almost all urologists are familiar with the anatomy, the flexibility to modify the renal pelvis as necessary, and the creation of a watertight anastomosis are all benefits of this procedure. Large surgical incisions, as well as the resulting postoperative pain and extended recovery period, are a few drawbacks.

Laparoscopic Pyeloplasty

With this minimally invasive technique, the surgeon makes a tiny cut in the abdomen and proceeds with the help of advanced tools. A robotic surgeon can guide the instruments. Minimal discomfort and nausea are perks of this procedure, especially for older kids and adults.

Outcomes from this procedure have been highly beneficial. Lesser postoperative discomfort, a shortened stay in the hospital, and a quicker healing process are benefits of the laparoscopic technique. Similar to its open alternative, laparoscopy enables the removal of concomitant renal calculi as well as the excision of the structured segment, reduction pyeloplasty, transposition of the ureteropelvic junction over crossing vessels, and transposition of the structured segment.

Retrograde Endo Pyeloplasty

In this surgical procedure, the ureteropelvic junction region is accessed by a ureteroscope that is retrogradely inserted through the bladder and into the ureter. The ureteropelvic junction is fully incised under direct view utilising several tools, such as Electrocautery or Laser. Typically, the incision is moved proximally and distally until periureteral fat is visible. A specific ureteral drain or stent is implanted after the surgery and is subsequently withdrawn after a few weeks.

The benefit of a retrograde endopyelotomy technique is that it is minimally invasive. Hence, no skin incision is necessary, and there is also less discomfort and nausea. It can frequently be done without an inpatient setting. The operation may need to be repeated, but the ureteropelvic junction heals more effectively.

Robotic Pyeloplasty

Like laparoscopic pyeloplasty, robotic pyeloplasty involves attaching the surgical tools to a robotic system that the doctor controls using a computer interface rather than the surgeon using their own hands.

The robotic system’s dexterity improves the surgeon’s operating accuracy, control, and flexibility. Like traditional laparoscopic surgery, robotic surgery involves inserting devices into the body through several tiny incisions and manipulating them while viewing a video monitor. In robotic surgery, in contrast to traditional laparoscopy, where the surgeon’s hands are physically connected to the tools, the motion of surgical tools is controlled from a console kept separately from the patient.

The robot’s benefits include a heightened sense of three dimensions, enhanced articulation with six degrees of freedom to simulate wrist movements, tremor reduction, and motion scaling. Reducing the difficulty and increasing the effectiveness of intracorporeal suturing enable surgeons to conduct a minimally invasive pyeloplasty. As a result, an increasing number of surgeons are using robots as their preferred method for pyeloplasty.

What are the Risks and Benefits Involved in Pyeloplasty?

The surgery has a very high success rate. However, numerous hazards are associated with this procedure, including further bleeding, injury to the nearby organs, and switching from laparoscopic to open surgery in between if the need arises.

Your anesthesiologist will go over the certain risks of receiving anaesthesia with you. Complications following surgery include bruising, inflammation, rupture, deep vein thrombosis, and the necessity for repeat surgeries if your blockage reoccurs. Additionally, the area where your kidney and ureter unite may leak urine.

Also, you rarely sustain an injury to your:

• Main blood vessels.
• Intestines
• Enormous intestine.
• Stomach
• Pancreas, liver, or spleen
• Follicular tube
• Bladder

At Apollo Hospitals, Karnataka, the above-mentioned risks are extremely lowered by employing cutting-edge technology and a highly-qualified team of expert surgeons using the latest medical procedures.

Our ways of surgery have advanced with machines and the introduction of robots. This has made surgery relatively easier. Apollo Hospitals, Karnataka, offers the best pyeloplasty surgery, and we believe in offering extra care with the surgery with the help of our certified nursing staff and world-class facilities.