Laparoscopic & Robotic Pyeloplasty

Pyeloplasty is a type of surgery that corrects the condition of ureteropelvic junction obstruction (UPJO). It is a condition where blockage occurs at junction where pelvis and ureter meet. In case of UPJ obstruction urine flow doesnt happen between kidney to ureter resulting in pressure build inside the renal pelvis, kidney causing pain, kidney stones, loss of kidney function.

Symptoms of UPJO:

• Urinary tract infection 
• Vomiting 
• Abdominal mass 
• Back pain

About Procedure:

Robotic and laparoscopic techniques which are performed have similar principles as the open surgery, but minimally invasive cuts are made instead of large abdominal incision. 3-4 incisions are made and through these keyholes robotic instruments will be placed which enable the surgeon to detect the obstruction and accomplish the repair. Surgeon controls 2-3 multi-jointed robotic instruments to accomplish the tasks of dissection, cauterization, cutting and suturing.  

In addition, a stereoscopic lens provides 3-D view of the obstruction. The affected area of kidney is dissected and exposed. The obstruction area is repaired and prevent the recurring pressure and obstruction. 

Risks:

• Bleeding: Blood loss is comparatively less than open surgery.
• Infection: Although given antibiotics prior surgery. Infections may occur are rare.
• Recurrence of Kidney Obstruction 
• Pain: Some patients may continue to have Chronic kidney pain  

Advantage of robotic pyeloplasty:

• reduced blood loss and transfusions
• reduced pain
• shorter hospital stays
• improved cosmesis
• faster recovery as compared to open surgery