A laparoscopic pyeloplasty is an operation where a narrowing or scarring at the junction of the kidney with the ureter is repaired using keyhole surgery.
The operation takes approximately 2-3 hours, pre operative checks are necessary to ensure safety. Blood tests, urine tests, x rays and ECG may be done a week to 2 weeks before the operation date at a pre operative assessment clinic. This is to check that your general health is satisfactory. Alternatively these checks may take place on the day before surgery. The total hospital stay will be on average 5 days.
The operation is performed under general anaesthetic (you are put to sleep). 2 The surgeon will usually make 3-4 small stab wounds on the abdomen. Through one of these wounds a telescopic camera is passed to allow the surgeon to see the kidney and surrounding organs. Through the other wounds instruments are passed which can cut, diathermy and stitch the blood vessels and organs inside. A stent will then be inserted into the ureter (pipe connecting kidney to bladder) to
prevent any blockage of the ureter due to swelling from the wound site and aid healing. This will allow the easy passage of urine into the bladder. This will be removed at a later date and this is usually performed under a local anaesthetic. (Please see information leaflet on ‘having a ureteric stent’). At the end of the operation a catheter tube is often placed into the bladder through your water pipe, a wound drain will sometimes be inserted.
Laparoscopic pyeloplasty is performed under a general anesthetic. The typical length of the operation is 3-4 hours. The surgery is performed through 3 small (1cm) incisions made in the abdomen. A telescope and small instruments are inserted into the abdomen through these keyhole incisions, which allow the surgeon to repair the blockage/narrowing without having to place his hands into the abdomen. A small plastic tube (called a ureteral stent) is left inside the ureter at the end of the procedure to bridge the pyeloplasty repair and help drain the kidney. This stent will remain in place for 4 weeks and is usually removed in the doctor's office. A small drain will also be left exiting your flank to drain away any fluid around the kidney and pyeloplasty repair.
It may take 6 weeks for you to fully recover from this surgery. It is important to avoid heavy lifting and strenuous exercise during this period. We recommend that you should avoid driving for 2 weeks. You will be given an appointment to have your stent removed in 6 weeks time. You will be seen in out patients approximately 3 months after surgery.
laparoscopic pyeloplasty | ECG | treatment laparoscopic pyeloplasty
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