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A laparoscopic pyeloplasty is keyhole surgical repair of an obstruction at the ureteropelvic junction (UPJ), preventing the drainage of the kidney and causing pain, infection, kidney stones, hypertension or poor function of the kidney.
The surgery usually takes between 2 to 3 hours and requires the patient to have a general anaesthesic. The surgeon will insert a laparoscope and the surgical instruments through 3 or 4 small incisions. Thanks to a camera linked to a TV screen, the surgeon will remove the narrowed part of the UPJ to repair the connection between the renal pelvis to the ureter.
The surgery will require the patient to stay in the hospital for a few days.
The potential benefits of laparoscopic surgery compared to traditional open surgical repair are: less blood loss, less pain, shorter recovery times and a better cosmetic outcome. It is generally a safe procedure with a low complication rate. Like most major abdominal procedures, however, complications can occur, though these are generally of a minor nature and will be explained by your surgeon.
Copy written by Mr Ian Dunn, Consultant Urological Surgeon at Ross Hall Hospital
