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Ureteropelvic Junction (UPJ) Obstruction Treatment

Ureteropelvic Junction (UPJ) Obstruction Treatments

Robotic upper tract reconstruction for UPJ obstructions and other ureter problems

In this minimally invasive treatment for UPJ obstructions and other ureter problems, a Temple urologist removes the obstructed junction between the kidney pelvis and the ureter. Once the obstruction is removed, the surgeon surgically connects the free tissue on both ends, permanently removing the blocked area. This procedure, often referred to as pyeloplasty, is most commonly needed in children or adolescents with congenitally malformed or mispositioned ureters, However, robotic techniques can now also be used to fix ureteral problems related to kidney stones, previous surgery, or other less common causes.

While traditional open surgery for UPJ obstructions has been the gold standard for many years, Temple's urologists can now perform pyeloplasty and related ureteral procedures with the assistance of the Da Vinci Si Surgery System. The increased precision and visualization afforded by the surgical robot allows our urologist to perform surgery through tiny, keyhole-sized incisions.

As with most robotic-assisted procedures, there may be less pain than with the open procedure, less blood loss (and therefore less need for a blood transfusion), reduced risk of infection, less scarring (both internally and externally), a shorter hospital stay, and shorter overall recovery time before a return to normal activities.

For certain patients, the removal of a UPJ obstruction can also be performed laparoscopically. This procedure is still considered minimally invasive, offering faster recoveries, less pain and a decreased risk of infections compared to traditional open surgery.

Learn more about robotic-assisted surgery for UPJ obstruction.

To schedule an appointment with a Temple urologist, click here or call
1-800-TEMPLE-MED (1-800-836-7536).

Endoscopic treatments for UPJ obstruction

During endoscopic surgery for UPJ obstruction, a Temple urologist creates an incision near the obstruction and widens the surgical site using an inflatable balloon catheter. The surgeon then implants a stent into the blocked junction to permanently route urine around the obstruction. Our surgeons use the minimally invasive Acucise system, which allows every step of the surgery to be performed through a single incision. A single incision offers patients a shorter, less painful recovery and a decreased risk of infection.

Temple's urologists are highly experienced in robotic, endoscopic and laparoscopic surgery for UPJ obstructions.

To schedule an appointment with a Temple urologist, click here or call
1-800-TEMPLE-MED (1-800-836-7536).