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Pyeloplasty is a surgical procedure indicated in the case of alterations in the connection between the ureter and the kidney (ureteropelvic junction), which can lead, in the long term, to kidney dysfunction and failure. Thus, this procedure aims to restore this connection, preventing the emergence of complications.
Pyeloplasty is a medium/high complexity surgery, requiring general anesthesia and hospitalization for a few days to be followed up and then released home, and treatment should be continued at home with rest and use of antibiotics recommended by the urologist.
What is it for
Pyeloplasty is a surgical procedure indicated in cases of stenosis of the ureteropelvic junction, which corresponds to the union of the kidney with the ureter. That is, in this situation, there is a narrowing of this connection, which can promote a decrease in urinary flow and result in kidney damage and progressive loss of function. Therefore, pyeloplasty aims to restore this connection, restoring the flow of urine and reducing the risk of kidney complications.
Thus, pyeloplasty is indicated when the person has symptoms related to ureteropelvic junction stenosis and changes in laboratory tests, such as urea, creatinine and creatinine clearance levels, and imaging tests, such as abdominal ultrasound and tomography computerized.
How it's made
Before performing pyeloplasty, it is recommended that the person fast for about 8 hours. The type of surgery depends on the person's age and general he alth, and may be recommended:
- Open surgery: in which a cut is made in the abdominal region in order to correct the connection between the ureter and the kidney;
- Pyeloplasty by laparoscopy or robotics: this type of procedure is less invasive, as it is performed through 3 small incisions in the abdomen, and promotes faster recovery for the person.
Regardless of the type of surgery, a cut is made in the connection between the ureter and the kidney and then this connection is restored. During the procedure, a catheter is also placed to drain the kidney and reduce the risk of complications, which must then be removed by the doctor who performed the surgical procedure.
After performing pyeloplasty, it is common for the person to stay in the hospital for 1 to 2 days to recover from anesthesia and to observe any symptoms. In cases where a catheter has been placed, it is recommended to remove it after approximately 30 days.
At home, it is important that the person remains at rest, avoiding exertion for about 30 days and drinking plenty of fluids, in addition to using the medication prescribed by the doctor. Usually, the use of antibiotics is indicated by the doctor to prevent the occurrence of infections.
Pyeloplasty recovery is relatively simple, and after the recovery period stipulated by the urologist, the patient must return to the consultation so that the catheter removal is scheduled and imaging tests are performed to verify whether the surgery was successful. enough to correct the change.
If during the recovery period the person has fever, bleeding, pain when urinating or vomiting, it is important to return to the doctor so that an evaluation can be carried out and the most appropriate treatment can be started.