What is the meaning of pyeloplasty?

Pyeloplasty is surgery to correct a condition called ureteropelvic junction (UPJ) obstruction. “Pyelo” refers to the kidney (renal pelvis). “Plasty” is the term for a surgical procedure that repairs, restores or replaces something.

How many types of pyeloplasty?

There are different types of pyeloplasty depending on the surgical technique and patterns of incision used. These include the Y-V, Inverted ‘U,’ and Dismembered types of pyeloplasty. The dismembered type of pyeloplasty (called as Anderson-Hynes pyeloplasty) is the most common type of pyeloplasty.

What is anderson-Hynes pyeloplasty?

Background: The Anderson-Hynes pyeloplasty (AHP) is a surgical technique used in the management of pelvi-ureteric junction obstruction. This operation has been performed for over six decades and has etched its name in the annals of urology.

What is dismembered pyeloplasty?

Minimally invasive open dismembered pyeloplasty is a safe, technically feasible and effective therapy in treating children’s ureteropelvic junction obstruction. It is done in short duration with small incision, few complications, and short convalescence.

Is pyeloplasty a minor surgery?

Laparoscopic pyeloplasty is performed under general anesthesia. The typical length of the operation is three to four hours.

What is the ureteropelvic junction?

Ureteropelvic junction (UPJ) obstruction is a blockage in the area that connects the renal pelvis (part of the kidney) to one of the tubes (ureters) that move urine to the bladder. It generally occurs when a baby is still growing in the womb.

How long is a pyeloplasty surgery?

Laparoscopic pyeloplasty is performed under general anesthesia. The typical length of the operation is three to four hours. The surgery is performed through three small (1 cm) incisions made in the abdomen.

What is PCN placement?

Percutaneous nephrostomy (PCN) is a medical procedure that involves the placement of a small, flexible rubber tube or catheter through the skin into the kidney to drain the urine while using imaging as a guidance.

What is pyeloplasty and how is it performed?

This was described in relation to retrocaval ureter (now renamed as preureteric vena cava). Another technique of pyeloplasty is Culp’s pyeloplasty; in this method a flap is rotated from dilated pelvis to decrease narrowing of ureter. A pyeloplasty can either be done by the robotic, open, or laparoscopic route.

What problems can pypyeloplasty help with?

Pyeloplasty can help fix these problems and prevent them from getting worse or coming back. An adynamic ureter or blocked UPJ – In many children, the blockage develops before birth with a small, tight area that is simply too narrow for enough urine to get past.

What are the risks of a pyeloplasty for children?

Having two healthy kidneys gives your child the chance for better health down the road in case another health problem injures or affects the kidneys. In general, the risks of a pyeloplasty include those of any surgery, such as infection, redness, swelling, bleeding, or failure of the operation to fix the problem.

What is the success rate of pyeloplasty?

Pyeloplasty has good long-term success. But, as with any surgery, there is a risk of the scar tissue returning and causing a repeat obstruction of the kidney. Your healthcare provider will continue to monitor for this for several months after surgery