Ureteropelvic Junction (UPJ) Obstruction is a condition where the flow of urine from the kidney to the ureter becomes blocked, leading to swelling of the kidney (hydronephrosis) and various complications. With advancements in minimally invasive surgery, Laparoscopic Pyeloplasty has emerged as the most effective and reliable procedure to treat this condition.
What is UPJ Obstruction?
UPJ Obstruction is a blockage at the junction where the kidney meets the ureter. This obstruction prevents normal urine drainage, causing urine to build up, increasing kidney pressure, and gradually damaging kidney tissue. It can occur in children and adults but is often diagnosed in young adults due to recurring symptoms
Common Symptoms of UPJ Obstruction
Patients may experience one or more of the following symptoms:
-
Sharp or intermittent pain in the back or flank region
-
Recurrent urinary infections
-
Persistent nausea or vomiting, especially during pain episodes
-
Blood in urine (hematuria)
-
Swelling of the kidney detected by ultrasound or CT scan
If untreated, the condition can lead to significant kidney damage and decreased kidney function.
What is Laparoscopic Pyeloplasty?
Laparoscopic Pyeloplasty is a modern, minimally invasive surgical technique used to remove the obstruction at the UPJ and reconstruct a new, wider passage for urine flow. Three to four tiny incisions are made in the abdomen, and the surgery is performed using a laparoscope (a small camera) and precision instruments.
Benefits of Laparoscopic Pyeloplasty
Compared to traditional open surgery, laparoscopic pyeloplasty offers multiple advantages:
Minimal pain and reduced discomfort after surgery
Very small incisions, leading to faster healing and minimal scarring
Quick recovery time—most patients resume daily activities within 1–2 weeks
Highly effective and durable results with excellent long-term success rates
Improved kidney function and relief from symptoms
Due to its minimally invasive nature, this procedure is now considered the gold-standard treatment for UPJ Obstruction.
What to Expect During and After the Procedure
-
The surgery typically lasts 2–3 hours under general anesthesia.
-
A stent is usually placed inside the ureter to support healing and is removed after a few weeks.
-
Most patients can go home within 24–48 hours of surgery.
Post-operative follow-up includes ultrasound and urine tests to confirm improved kidney drainage.
Why Timely Treatment Matters
Delaying treatment of UPJ obstruction can lead to:
Chronic kidney pain
Repeated infections
Hypertension due to kidney damage
Progressive loss of kidney function or irreversible kidney failure
Early diagnosis and timely surgical intervention can prevent long-term complications and restore kidney health.
Expert Urological Care
Dr. Parvez Ahmad, M.B.B.S, M.S (Surgery), M.Ch (Urology & Renal Transplant), specializes in advanced urological procedures including laparoscopic pyeloplasty. With extensive experience in minimally invasive surgeries, he provides comprehensive care for kidney-related disorders.
Call Now: +91 7248733554
Location: TamTam Padaw, Phulwari Sharif / Ejaz Clinic, Shareef Colony, Ford Hospital, Khemnichak, Patna
Conclusion
Laparoscopic Pyeloplasty is a safe, effective, and patient-friendly solution for UPJ Obstruction. With minimal pain, quick recovery, and high success rates, it offers long-lasting relief and preserves kidney health. Anyone experiencing persistent back pain, recurrent urinary infections, or kidney swelling should consult a urologist for timely evaluation and treatment.
Improves urine flow significantly
