Get Free Treatment QuoteGet Free Treatment Quote
Get a call backGet a call back

Healthcaretripindia.com

Laparoscopic Pyeloplasty for PUJ Obstruction

Laparoscopic Pyeloplasty Surgery Cost In India| HealthcaretripIndia

Laparoscopic Pyeloplasty for PUJ Obstruction

Package Cost : On request

Send Enquiry

When the blockage in the urinary tract is found at the level where the part of the kidney that collects the urine (Renal pelvis) joins the ureter (the tube that carries the urine from the kidney to the bladder). This junction is referred to as Pelviureteric Junction and the obstruction at this level is called Pelviureteric Obstruction. The PUJ obstruction may be present right from birth (congenital) or may develop later in life (acquired) due to some disease process or as a result of a certain procedure done in the past.

 

Pelviureteral Junction obstruction is the most common congenital cause of upper urinary tract obstruction and leads to progressive dilatation of the renal urine collecting system.

 

Pyeloplasty is the surgical procedure that is recommended for PUJ (Pelviureteric Junction) Obstruction. "Pyelo" refers to the Renal pelvis and "Plasty" refers to the surgery or procedure that encompasses repair, restoration, or replacement.

 

Open Pyeloplasty is the standard treatment. However, there are various techniques for performing Pyeloplasty and among these Laparoscopic Pyeloplasty is by far the most common surgical technique for PUJ Obstruction.

 

Laparoscopic Pyeloplasty is also referred to as Keyhole surgery. The objective of Pyeloplasty surgery for PUJ obstruction is to remove the narrowed portion of PUJ and connect the remaining part to the ureter to ensure easy drainage of urine through the urinary passage. There are several ways to access the kidney to be able to perform the surgery. However, most commonly, this surgery is done using Laparoscopy.

 

Laparoscopic Pyeloplasty is a minimally invasive reconstructive surgery done to repair the obstruction in the upper urinary tract passage at the level where the ureter leaves the kidney.

 

In children with recurrent PUJ Obstruction, Laparoscopic Pyeloplasty is a viable alternative to Open Pyeloplasty surgery. It requires a shorter hospital stay and less pain after the procedure. However, it is technically challenging so one has to make sure while choosing the Laparoscopic Urologic surgeon who has considerable experience in performing the procedure in a high volume of cases.

 

 

Plan your Laparoscopic Pyeloplasty Surgery in India with HealthcaretripIndia

 

 

 

 

 

Get the most affordable high-quality medical treatment from the best hospitals in India

Scan and send your medical reports at contacthealthcaretripIndia@gmail.com or contact@healthcaretripIndia.com

Q1 Who needs Pyeloplasty surgery?

 

A1 Both adults and children may require a Pyeloplasty procedure to repair the obstruction present at UPJ (Ureteropelvic Junction).  UPJ obstruction may be present at the time of birth (1 in 1500 babies). Twice as many males have this condition in contrast to females.

Infants, if do not improve even after 18 months, may require Pyeloplasty.

Older children or adults may develop PUJ obstruction later in life and may require Pyeloplasty to rectify the condition.

 

Q2 What are the causes of PUJ obstruction?

 

A2 The abnormality in the anatomy (structure) of the Pelviureteral junction may be present since birth (congenital) or may be acquired later in life, as a result of other medical conditions such as stone or rarely, cancer. 

PUJ may pass over a blood vessel in some patients, the blood vessel in such case is referred to as a crossing vessel. This may also be the cause of LUJ obstruction. 

Though present at birth in some patients, PUJ obstruction, may not show up until later in life.

 

Q3 What are the symptoms of Pelviureteric Junction Obstruction?

 

A3 The PUJ Obstruction may present with the following symptoms:

 

  • Poor flow of urine

  • Pain in the flank or abdomen

  • Impaired and worsening kidney function

  • Infect of the urinary tract passage

  • Stones in the urinary tract

  • High Blood Pressure

 

Q4 Is Pyeloplasty an invasive Procedure?

 

A4 There are several techniques adopted to perform the Pyeloplasty surgery, in order to access the kidney, more specifically the obstructed Pelviureteric Junction where the ureter leaves the kidney.

 

In babies and infants, Open surgery is safer than the Laparoscopic approach and it is an invasive surgery. Here, the urosurgeon directly visualizes the surgical site, without the help of a camera, after making a large incision, cutting skin and tissues to access the area to be operated upon. 

However, in Laparoscopic Pyeloplasty a camera is used, and a robot may also be used as in Robotic Computer-assisted Pyeloplasty.

 

Open Pyeloplasty is a safer surgery than Laparoscopic Pyeloplasty in babies and infants. However, in adults, Laparoscopic Pyeloplasty or Keyhole surgery may be a better alternative to correct PUJ Obstruction.

 

Q5 Is Laparoscopic Pyeloplasty an outpatient or inpatient procedure?

 

A5 Laparoscopic Pyeloplasty is an inpatient procedure that implies that the patient  (baby, child, or adult) has to be admitted to the hospital. A hospital stay may be for one to two days. However, the hospital stay for Laparoscopic pyeloplasty may vary from patient to patient.

 

Q6 How much time does the Laparoscopic Pyeloplasty procedure take?

 

A6 It takes around 3 hours to perform Laparoscopic Pyeloplasty for PUJ obstruction.

 

Q7 What type of anesthesia is given to perform Laparoscopic Pyeloplasty surgery?

 

A7 Laparoscopic Pyeloplasty Surgery is done under General Anesthesia in which patient is put to sleep.

 

Q8 What happens in Laparoscopic Pyeloplasty Surgery?

 

A8 Pyeloplasty surgery encompasses removal of the narrowed or obstructed part of the urinary tract i.e., Pelviureteric Junction, and joining the remaining loose ends of the urinary tract together.

It can be done by several techniques such as Open Pyeloplasty which requires a large incision in order to perform the surgery or, Laparoscopic Pyeloplasty surgery.

Laparoscopic Pyeloplasty is also known as a keyhole surgery as it needs a few very small incisions, each less than half of an inch, and hence the name.

Three keyhole size incisions or cuts are made in the skin of the abdomen at the side of the affected kidney. A fibre optic instrument fitted with a camera and light at the end and tiny surgical instruments are passed through these holes in order to access the obstructed PUJ site and finally, remove it and join the remaining loose ends of the urinary tract. The urologist does not have to actually put his hands inside the abdomen.

At the end of this procedure, a catheter (flexible tube) is left in place. It comes out of the bladder through the urethra and, connected to the catheter bag which collects the urine.

Additionally, a drainage tube is left in place near the surgical site, coming out of one of the incisions, which drain the fluid coming out from around the kidney or the repair site. Both of these tubes are removed after a day or so.

A small plastic tube, referred to as ureteral stent is placed in the ureter after the procedure is complete, which is eventually removed after a span of 4 to 6 weeks.

 

Q9 What are the benefits of Laparoscopic Pyeloplasty?

 

A9 Laparoscopic Pyeloplasty has a lot to offer in contrast to Open Pyeloplasty, in terms of:

  • Minimally invasive surgical technique

  • Quick recovery

  • Minimal pain which can rather be referred to as discomfort

  • Aesthetically pleasing due to small incisions

  • Early resumption of daily activities

  • Shorter hospital stay

  • Less potential for complications

  • No or reduced need for blood transfusion

  • Comparable results to that of Open Pyeloplasty surgery

​Open Pyeloplasty is a cheaper surgical option in contrast to Laparoscopic Pyeloplasty surgery for Ureteropelvic Junction Obstruction, with comparable efficacy and needs less operating time, but it is still associated with more complications, increased morbidity, more post operative pain, more blood loss, longer hospital stay and delayed resumption of daily activities for the patient.

​Q10 What are the complications associated with Laparoscopic Pyeloplasty?

 

A10 Laparoscopic Pyeloplasty is a safe and effective procedure for PUJ Obstruction with a reported 97% success rate and the results are comparable to that of Open Pyeloplasty surgery.

Complications whether during the procedure (Intraoperative) or after the procedure (Post Operative) are rare and the major complications that necessitate any active intervention is seen in a very low number of cases, which may be:

  • Stone formation

  • Urine Leakage

  • Hematoma formation

  • Recurrence of PUJ narrowing, requiring treatment again

  • Colonic lesion

  • Urinary tract infection

Q11 What is the difference between Robotic Computer-Assisted Pyeloplasty and conventional Laparoscopic Pyeloplasty?

 

A11 Laparoscopic Pyeloplasty is way better than Open Pyeloplasty surgery as it provides comparable results but with lesser morbidity. However, technically it is challenging as it requires advanced Laparoscopic skills, on part of the urology surgeon and more operating time.

Robotic computer-assisted Pyeloplasty has somewhat reduced the technical challenge, especially in the reconstruction of the remaining urinary tract passage, after the removal of the narrowed or obstructed part and along with other benefits offered by Laparoscopic Pyeloplasty, Robotic Pyeloplasty reduces surgeon's fatigue as well.

Robotic Pyeloplasty, like Open Pyeloplasty requires less operating time whereas Laparoscopic Pyeloplasty requires considerably increased operating time. Laparoscopic as well as Robotic pyeloplasty have comparable efficacy, success rate, minimal blood loss, shorter hospital stay and fewer complications.

 

 

PUJ Obstruction Treatment in India|Laparoscopic Pyeloplasty Surgery

 

 

  • Most affordable​ Kidney Stone treatment in India

 

  • No waiting period.

  • World-class hospitals with state-of-the-art infrastructure.

  • Most advanced diagnostic and treatment methods are employed for optimal results.

  • Globally trained doctors with decades of experience in carrying out the surgery with competence and ease.

  • Great ambience

  • Compassionate staff to look after.

  • Hospitals are accredited with international organizations such as JCI(Joint Commission International) for quality standards.

  • Language is no barrier. English speaking people and if required, translators are available for your convenience

  • Most economical accommodation is available within walking distance from the hospital. Wide range of options starting from the guest house, service apartments to five-star hotels, best suited to your budget and choice.

  • Good flight connectivity

  • India has a diverse and rich cultural heritage. You can witness its beauty and uniqueness. It offers the most conducive environment for recuperation.

 

​Learn more

Medical Tourism in India FAQs

Top Doctors for Laparoscopic Pyeloplasty Surgery in India|HealthcaretripIndia

 

Top Urologists in Delhi, Delhi-NCR

 

Dr. Anant Kumar

MBBS, MS (General Surgery), MCh (Urology), DNB (Urology)

Chairman, Urology, Renal Transplant, Robotics, and Uro-Oncology

Max Super Speciality Hospital, Saket

Top Urologist in Delhi|Max Healthcare

Dr. Sujit Chowdhary

MBBS,MS (General Surgery), MCh, FRCS

Pediatric Urologist and Director, 

Apollo Institute of Pediatric Sciences

Indraprastha Apollo Hospital New Delhi

Top Urologist for Children|Best Pediatric Urology Surgeon in Delhi|Apollo Hospital

Dr. Anil Mandhani 

MBBS, MS (General Surgery), MCh (Urology), DNB (Urology)

Executive Director, Urology and Kidney Transplant

FMRI (Fortis Memorial Research Institute), Gurugram, Delhi-NCR

Fortis Escorts Kidney and Urology Institute, Okhla, New Delhi

Top Urology Surgeon in Delhi|Fortis

 

Dr. Gagan Gautam

MBBS, DNB,MS,M.Ch (Urology) AIIMS

Fellowship(Robotic Urological Cancer Surgery) Chicago, USA

Head of Urologic Cancer Surgery(Urologic Oncology) and Robotic Surgery

Max Cancer Centre, Max Hospital, Saket, New Delhi

Top Urologist in Delhi|Max Healthcare

 

Dr. Ashish Sabharwal

MBBS, MS (General Surgery), DNB (Urology)

Fellowship in Endourology and Robotic Prostate Surgery (Miami, Florida, USA)

Senior Consultant in Urology and Andrology

Fortis Escorts Heart Institute, New Delhi

Top Urologist in Delhi|Fortis

 

 

 

Dr. Sanjay Gogoi

MBBS, MS(General Surgery), DNB(Genitourinary Surgery), M.Ch(Urology)

Head of the Dept. Urology and Renal Transplant

Manipal Hospital, Delhi

Top Urologist in Delhi|Manipal Hospital

 

 

 

Dr. Narmada Prasad Gupta

MBBS,MS (General Surgery),MCh (Urology)

Chairman, Kidney and Urology Institute

Medanta Medicity, Gurgaon, Delhi-NCR

Top Urologist|Gurgaon, Delhi-NCR|Medanta Hospital

 

 

Dr. Vineet Malhotra

MBBS, MS, DNB (Urology)

Consultant Urologist

Apollo Spectra Hospital, New Delhi

Top Urologist in Delhi|Apollo Spectra Hospital

 

 

 

Dr. P.P Singh

 

MBBS, MS (General Surgery), MCh (Urology)

 

Senior Consultant and Head, Urology and Kidney Transplantation

 

PSRI Hospital, Delhi

 

Top Urologist in Delhi|PSRI Hospital

 

Dr. (Lt. Col) Aditya Pradhan 

MBBS, MS (General Surgery), DNB (Urology)

Director, Urology, Andrology and Kidney Transplantation

BLK Super Specialty Hospital, Delhi

Best Urologist in Delhi|BLK Hospital

Dr. Rajesh Ahlawat

MBBS, MS, MNAMS, MCh (Urology)

Group Chairman, Kidney and Urology Institute, Medanta The Medicity

Best Urologist in Delhi-NCR|Gurugram|Medanta

Browse All Hospitals

Hospitals

bdr line

  • Gurgaon,Delhi-NCR

    One of India's largest multi-super specialty institutes founded by Dr Naresh Trehan, the eminent cardiac surgeon.   The institutes expands over an area of 43 acres and has a rese

    View Details

  • Gurgaon,Delhi-NCR

    Artemis Hospitals, established in 2007, is the first hospital in Gurgaon (Delhi NCR) to be accredited by Joint Commission International (JCI) (in 2013) and NABH. Spread across 9 acres, 520 bedded, sta

    View Details

  • Saket, New Delhi

    Max healthcare is a leading group of super specialty hospitals in India with over 8 hospitals in Delhi, 1500 physicians, 3000 support staff and 800 beds.World class infrastructure,services in more tha

    View Details

  • Chennai

    NABH accredited, 1000 bedded multi-specialty quaternary hospital spread over 14 acres.    MIOT International, the best super specialty hospital in Chennai, offers impeccable heal

    View Details

  • Delhi-NCR

    Largest group of hospitals in India along with presence in Dubai, Mauritius and Sri lanka, Fortis Healthcare Limited provides healthcare delivery services with 36 healthcare facilities, arou

    View Details

  • Noida, Delhi-NCR

    NABH accredited, 1200 bedded flagship hospital of the Jaypee Group, is a tertiary care multi specialty hospital with the state of the art infrastructure, over 400 highly skilled globally trained docto

    View Details

  • Bangalore

    NABH accredited Multi Specialty Cancer Hospital in Bangalore, Cytecare Cancer Hospitals is Cytecare's flagship hospital which ensures comprehensive cancer care for its patients.  &

    View Details

  • New Delhi

    The pioneer of integrated healthcare, operates chain of 64 Super specialty hospitals with capacity of over 10,000 beds,over 7000 doctors and over 56 different specialties to cater to patient's nee

    View Details

  • Gurgaon;Bangalore

    Columbia Asia, a multi-national healthcare provider operating chain of 12 multi-disciplinary tertiary care hospitals in India, has set a benchmark in the field of transplantation (Kidney,Intestine,Liv

    View Details

  • Mumbai,India

    JCI accredited tertiary care multi super specialty hospital with latest technology, multi disciplinary capabilities, state of the art infrastructure, world class facilities and outstanding patient car

    View Details

  • Ahmedabad, Gujarat

    300 bedded Multi Speciality Hospital, located at a prime location in the heart of Ahmedabad.   KD Hospital is one of the best super speciality hospital in Ahmedabad, Gujarat with state of the a

    View Details

  • Gurugram, Delhi, Kolkata, Lucknow

    CK Birla Group-owned world-class fertility and IVF centre, Birla Fertility and IVF is a leading chain of clinics in India for fertility and IVF treatment.   One can aspire to get all-inclu

    View Details

  • Bangalore

    500 specialists across various domains, 275 oncologists across 23 cancer centres, 2 tertiary care hospitals and 6 infertility centres. HealthCare Global Enterprises Ltd., is a healthcare organiza

    View Details

  • Kozhikode(Calicut), Kerala, India

    NABH accredited 800 bedded multispeciality tertiary care hospital established in 1987, with state of the art infrastructure and equipped with most advanced technology. Since the time of its inception

    View Details

  • Delhi,India

    Asia's largest healthcare group "Apollo Hospital Group" expanded its footprint that comes under the banner of Apollo Spectra hospitals. Multi specialty group of hospitals that follo

    View Details

  • New Delhi, India

    Fully dedicated 150 bedded Super Speciality Tertiary Care Children's hospital exclusively built keeping all the nuances of child healthcare in mind. Rainbow Group, the nation's leading childre

    View Details

  • New Delhi

    325 beds, 100 critical care beds, 34 specialties, 10 Modular OTs. NABH and NABL accredited leading Multi Super Specialty hospital in India.   Venkateshwar Hospitals is a group of Healthcare

    View Details