daVinci Robotic Pyeloplasty for Uretero-Pelvic Junction Obstruction FAQs
What is the diagnosis or pathology being treated by this procedure or surgery?
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Uretero Pelvic Junction Obstruction. A narrow segment of ureter between the renal pelvis and the ureter causing slow urine flow from the kidney.
Can you describe the procedure or draw a picture?
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Under general anesthesia Using the robotic instruments the narrow portion of the ureter is removed and the ureter and renal pelvis are brought together.
What are the benefits of doing this procedure?
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The goal is to restore drainage from the kidney by removing the blocked segment
What are the risks of doing the procedure?
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Typically this is a low risk procedure. Bleeding, infection, anesthetic complications, ileus, and urine leak are all very infrequent right after surgery. Long term risks include obstruction of the ureter where the connection point is made.
Are there alternatives to this procedure I should be considering?
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A procedure can be done endoscopically using a scope in the ureter but this has a much higher chance of failure.
Is this a common procedure?
Most patients have a chronic obstruction and the procedure is not emergent. In cases where there is pain or infection the procedure becomes more urgent.
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Should I do the procedure now or what happens if I wait to do the procedure?
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Stop blood thinner medication at an appropriate time prior to the procedure. You will need to see your primary MD for a pre op physical before the surgery. Follow the NPO (nothing to eat or drinks) guidelines according to the hospital or surgery center where the procedure will be done.
How do I prepare for this surgery?
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Recovery is overnight in the hospital and some minor restrictions on lifting for about 2 weeks. A small tube is left in the ureter called a stent whic will need to be removed in about 2-3 weeks after the surgery. The recovery time can be complicated by infection, blood clots, ileus and other complications, but that is infrequent.
How do I recover from this procedure?
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Yes, insurance typically covers this procedure.
Is this procedure covered by insurance?
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This is a common procedure in our practice although not a common procedure for most urologists .