A pyeloplasty is a procedure used to treat pelviureteric junction obstruction. The pelviureteric junction is the junction between the kidney and ureter.
Why is a pyeloplasty operation performed?
A pyeloplasty is done to cure the condition where the tube that takes urine from the kidney and into the bladder is obstructed, causing the urine to flow back into the kidney. If not treated at the proper time, it may result in infections, pain, and a reduction in renal function. Pyeloplasty surgery can aid in addressing these problems and prevent them from recurring or getting worse.
A pelviureteric junction (PUJ) obstruction can be primary since birth or secondary or acquired. In primary PUJO, a adynamic segment of ureter or rarely a crossing vessel can result in a narrowing that obstructs the flow of urine. Secondary causes include stones, Reflux disease, benign strictures, malignancy. Ultrasounds and other imaging tests like a CT Urogram or a Nuclear scan called as Renogram can be done to determine the cause of the obstruction and whether surgery is required or not. Significant obstruction, deteriorating function and pain are the usual indications for a pyeloplasty.
Robotic pyeloplasty is a minimally invasive procedure that boosts a urologist’s abilities by employing a mix of HD 3D magnification, robotic technology and freedom of movement comparable to the human wrist.
In contrast to an open pyeloplasty, which normally necessitates a major abdominal incision and retraction to make room for human hands, a robot-assisted pyeloplasty only necessitates a minor incision to fit the robotic arms and surgical instruments. Four arms are accessible where two serve as the surgeon's arms, a fourth arm is employed to hold back tissue, and one is outfitted with a high-resolution 3-D magnifying camera. The surgeon can see more detail, a real depth of field, and a panoramic picture thanks to the camera, and the robotic hands' wide range of motion furnishes more proficiency and accuracy, which are essential for reconstructive procedures of the urinary system. While settled at the console, a short stretch from the patient, the surgeon controls the robotic arms remotely and efficiently.
Benefits of Robotic Pyeloplsaty Surgery:-
- Less bleeding
- Minimum scarring
- Minimum medication and post-operative discomfort
- Faster healing and resumption of regular activities
We at World of Urology have experienced urologists with expertise in robotic urologic surgeries. Our affiliated surgeons have successfully completed numerous difficult pyeloplasty procedures including re-do procedures with a good success rate. The art is not knowing how to cut but when to cut and with the right investigative modalities we ensure whether surgery is really required or not.