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Laparoscopic pyeloplasty

Private keyhole surgery for urinary tract problems

Surgeons performing a laparoscopic pyeloplasty to treat ureteropelvic junction (UPJ) obstruction
If you're suffering from urinary tract problems, a laparoscopic pyeloplasty might be the solution you need. This surgical procedure is used to treat ureteropelvic junction (UPJ) obstruction, which is caused by a blockage where the ureter and kidney meet. During the procedure, the surgeon will remove the blockage and reconstruct the area, restoring proper urine flow. The operation is done laparoscopically, which is a type of minimally invasive (keyhole) surgery.

At Circle Health Group, we offer private laparoscopic pyeloplasty in state-of-the-art facilities, performed by experienced surgeons. Our team will guide you through every step of the process, from diagnosis to aftercare, to ensure you receive the best possible treatment.

Don't let urinary tract problems hold you back any longer. Book a consultation with one of our specialists today to discuss if a laparoscopic pyeloplasty is right for you. Call us or book online today and you could have your initial consultation within 48 hours.

Pyeloplasty removes a blockage from your ureter, which causes symptoms including:

  • Chronic pain or discomfort in your lower back or side
  • Recurrent urinary tract infections
  • Frequent urination
  • Urinary obstruction
  • Blood in the urine
  • Poor kidney function

If you are experiencing pain in your lower back or side, frequent urination, or blood in your urine, you may be a candidate for a laparoscopic pyeloplasty. This procedure is commonly used to treat conditions such as:

  • Ureteropelvic junction obstruction: A blockage in the area where the ureter (the tube that carries urine from the kidney to the bladder) meets the kidney, which can cause urine to build up and damage the kidney over time
  • Pelvic-ureteric junction obstruction: A blockage in the area where the ureter meets the bladder, which can cause urine to back up and cause kidney damage
  • Retrocaval ureter: A rare condition where the ureter is compressed by the large blood vessels in the back of the abdomen, leading to urine backup and potential kidney damage

If you are experiencing any of these conditions, a laparoscopic pyeloplasty may be recommended by your consultant as a way to alleviate your symptoms and protect your kidney health.

When you come to Circle Health Group for your initial consultation for a laparoscopic pyeloplasty, we will begin by discussing your medical history and performing a thorough physical examination.

To make a diagnosis, you may need to undergo tests or scans, such as a CT scan or an ultrasound. These tests will help us determine the cause of your symptoms and the extent of the issue.

Your first consultation is important because it allows us to get to know you and understand your unique needs and concerns. We will take the time to answer any questions you may have and explain the laparoscopic pyeloplasty procedure in detail.

Based on your diagnosis and medical history, we will work with you to decide on the best treatment plan for your specific situation. We will take into account your overall health, lifestyle, and goals to ensure that you receive the most effective and appropriate care possible.

At Circle Health Group, we are committed to providing you with the highest quality of care and support every step of the way. Contact us today to schedule your initial consultation for a laparoscopic pyeloplasty.

A laparoscopic pyeloplasty is typically performed under general anaesthetic and can take between two and three hours to complete. However, the exact duration of the surgery may vary depending on the complexity of your condition.

You will be put under general anaesthetic before the laparoscopic pyeloplasty procedure. This will mean that you are asleep and will ensure that you don't feel any pain or discomfort during the operation.

During the laparoscopic pyeloplasty, the surgeon will make several small incisions in your abdomen. Through these incisions they will insert a laparoscope, which is a thin tube with a camera and light attached to it, along with specialised instruments for performing surgery. Using the camera, the surgeon will be able to see inside your abdomen to guide their hands during surgery without making a large incision.

The surgeon will then identify the narrowed or blocked section of the ureter and cut out the affected area. The healthy ends of the ureter will then be reconnected using sutures or a stent.

Recovering from a pyeloplasty

After a laparoscopic pyeloplasty, you may need to stay in the hospital for a few days for observation. You may experience some pain and discomfort in the abdominal area, but this can be managed with pain medication. The small incisions will also need time to heal, and you may need to avoid heavy lifting or strenuous activity for a few weeks after the surgery.

It's important to follow your surgeon's instructions regarding post-operative care to ensure a smooth and successful recovery.

Remember, every patient is unique, and your laparoscopic pyeloplasty experience may differ. Your surgeon will discuss the details of your surgery with you beforehand and will be happy to answer any questions you may have.

We answer some of the most commonly asked questions about laparoscopic pyeloplasty.

What are the alternatives to laparoscopic surgery?

There are several alternatives to laparoscopic pyeloplasty, including open surgery and endoscopic surgery. Your consultant will discuss the best options for you based on your specific needs and medical history.

What happens immediately after laparoscopic surgery?

After laparoscopic pyeloplasty, you will be taken to the recovery room and monitored closely for several hours until you are awake and alert. You may feel some pain or discomfort in the incision sites, and you will likely have a catheter in place to drain urine from your bladder. Your healthcare team will provide you with instructions on how to care for yourself after surgery and what to expect during your recovery.

What should I expect when I get home after laparoscopic surgery?

After laparoscopic pyeloplasty, you will need to rest and avoid strenuous activities for several weeks. You may need to take pain medication and antibiotics to prevent infection. Your healthcare team will provide you with instructions on how to care for your incision sites and how to manage any pain or discomfort you may experience. It's important to follow these instructions closely and attend all follow-up appointments to ensure a successful recovery.

When you choose to go private with Circle Health Group, you can expect:

  • Flexible appointment times and locations to fit your routine
  • The freedom to choose which hospital and consultant suit your needs
  • Personalised, consultant-led treatment plans tailored to your individual needs
  • Comfortable and safe private facilities maintained by expert multidisciplinary teams
  • Private ensuite rooms as standard and delicious healthy meals
  • Affordable, fixed-price packages with aftercare included
  • Flexible payment options to help you spread the cost of your care

If you would like to learn more about laparoscopic pyeloplasty treatment, book your appointment online today or call a member of our team directly.

Content reviewed by Circle in-house team in March 2023. Next review due March 2026.

  1. Laparoscopic Robotic Pyeloplasty, Department of Urology
  2. Laparoscopic / Robotic-assisted laparoscopic pyeloplasty, NHS Cambridge University Hospitals
  3. Laparoscopic pyeloplasty, NICE
  4. Pyeloplasty, Cleveland Clinic
  5. Laparoscopic pyeloplasty, NIH
  6. LAPAROSCOPIC PYELOPLASTY: Indications, Technique, and Long-Term Outcome, Science Direct

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