The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Pyeloplasty (UPJ Obstruction Repair)

Surgical correction of ureteropelvic junction obstruction.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Pyeloplasty (UPJ Obstruction Repair)?

Pyeloplasty is the surgical repair of ureteropelvic junction (UPJ) obstruction. The Anderson-Hynes dismembered pyeloplasty is the most common and successful technique; the stenotic segment is excised and the renal pelvis is anastomosed end-to-end with the ureter.

UPJ obstruction may be congenital (most common in childhood) or acquired (after stone, infection or surgery). An aberrant lower-pole vessel compressing the ureter is a common associated finding.

Robotic pyeloplasty has become the standard approach in adults. Success rate is over 95%. In children, the open or laparoscopic approach is chosen according to age and surgeon experience.

Symptoms

Hydronephrosis due to UPJ obstruction
Recurrent flank pain (especially after fluid intake)
Recurrent urinary tract infections
Renal colic episodes
Loss of renal function (obstructive nephropathy)

Risk Factors

Anastomotic leak (2-5%)
Recurrence of stenosis (2-5%)
Urinary tract infection
Bleeding
Stent-related symptoms

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Urology evaluation when hydronephrosis is detected on ultrasound
  • If there are recurrent flank pain and urinary tract infections
  • If fever or severe pain develops after pyeloplasty
  • For follow-up of renal function after surgery

Treatment Methods

01
Robotic pyeloplasty (Anderson-Hynes, standard in adults)
02
Laparoscopic pyeloplasty
03
Open pyeloplasty (in children and complex cases)
04
DJ stent placement (during surgery, 4-6 weeks)
05
Functional follow-up with MAG3 renography

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

ESWL (Extracorporeal Shock Wave Lithotripsy)

Üroloji

ESWL delivers focused extracorporeal shock waves to fragment kidney stones into small pieces that can pass through the urinary tract spontaneously.

TURP (Transurethral Resection of the Prostate)

Üroloji

TURP is the endoscopic resection of prostatic adenoma causing lower urinary tract obstruction in benign prostatic hyperplasia.

Cystoscopy (Bladder Endoscopy)

Üroloji

Cystoscopy passes a thin endoscope through the urethra to inspect the bladder and urethra directly for both diagnostic and therapeutic purposes.

Varicocelectomy (Varicocele Surgery)

Üroloji

Varicocelectomy is a microsurgical or laparoscopic ligation of the enlarged veins of the pampiniform plexus; it plays an important role in treating male infertility.

Nephrectomy (Kidney Cancer Surgery)

Üroloji

Nephrectomy is the surgical procedure to remove a kidney with cancer (renal cell carcinoma) either radically or partially.

Radical Prostatectomy

Üroloji

Radical prostatectomy is the surgical removal of the entire prostate and seminal vesicles in localised prostate cancer; the robotic approach is today's standard.

Urethroplasty (Urethral Stricture Surgery)

Üroloji

Urethroplasty is the surgical widening or reconstruction of a urethral stricture; success rates are 85-95%.

Radical Orchiectomy (Testicular Cancer)

Üroloji

Radical inguinal orchiectomy is the surgery to remove the cancer-bearing testis along with the spermatic cord through a groin incision, used both for diagnosis and treatment of testicular cancer.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.