How Common Is UPJ Obstruction?

How long does a pyeloplasty take?

Laparoscopic pyeloplasty is performed under general anesthesia.

The typical length of the operation is three to four hours.

The surgery is performed through three small (1 cm) incisions made in the abdomen..

Is UPJ obstruction serious?

If undiagnosed or left untreated, chronic UPJ obstruction can lead to significant kidney damage and the gradual loss of kidney function. This is especially true of patients who are diagnosed later in life. Urinary tract infections become common and can be more serious than usual.

Can a UPJ obstruction come back?

Once the UPJ obstruction is fixed, it almost never comes back. Note that patients who have had UPJ obrstruction may have a slightly greater risk of future kidney stones or infection. This is because the kidneys may still contain some pooled urine, even though overall drainage is improved.

Is PUJ obstruction curable?

The standard treatment for pelviureteric junction obstruction is open pyeloplasty. Many individuals with a PUJ obstruction do not realise they have this condition until later in life, when they begin developing symptoms such as pain or develop urinary infections.

How serious is a kidney blockage?

Blockage can lead to kidney damage, kidney stones, and infection. Symptoms can include pain in the side, decreased or increased urine flow, and urinating at night. Symptoms are more common if the blockage is sudden and complete.

What foods should I avoid with hydronephrosis?

Here are 17 foods that you should likely avoid on a renal diet.Dark-colored soda. In addition to the calories and sugar that sodas provide, they harbor additives that contain phosphorus, especially dark-colored sodas. … Avocados. … Canned foods. … Whole wheat bread. … Brown rice. … Bananas. … Dairy. … Oranges and orange juice.More items…

How long does it take to recover from pyeloplasty?

Time to complete recovery is typically 3-4 weeks compared with 8 weeks for open pyeloplasty.

Is pyeloplasty a major surgery?

Laparoscopic Pyeloplasty is a minimally invasive technique to treat a blockage of urine flow from the kidney to the bladder due to an ureteropelvic junction obstruction (UPJ).

What causes a UPJ obstruction?

While the most common type results from a narrowing of the ureter as it forms in fetal development (usually because of an abnormality in the development of the muscle surrounding the UPJ), UPJ obstruction can also occur later in life and can be caused by other factors, including compression of the ureter by …

Can UPJ obstruction be intermittent?

This blockage can affect the function of the kidney, can cause intermittent episodes of abdominal pain, or both. Ureteropelvic junction obstruction is most commonly diagnosed in one of two ways.

What is the surgery for hydronephrosis?

The most common surgical procedure is pyeloplasty. This repairs the most common type of blockage that causes hydronephrosis: ureteropelvic junction obstruction (UPJ). In pyeloplasty, the surgeon will remove the narrowed or obstructed part of the ureter.

Where is UPJ located?

The ureteropelvic junction is located where the pelvis of the kidney meets the ureter (the tube that drains urine into the bladder). The term ureteropelvic junction (UPJ) obstruction describes a blockage to this area.

What is the most common cause of ureteropelvic junction obstruction?

Most of the time, the blockage is caused when the connection between the ureter and the renal pelvis narrows. This causes urine to build up, damaging the kidney. The condition can also be caused when a blood vessel is located in the wrong position over the ureter.

Can UPJ obstruction cause high blood pressure?

Hypertension is an incompletely understood complication of UPJ obstruction. Animal and human models have implicated the renin–angiotensin system, oxidative stress, nitric oxide dysregu- lation and renal sympathetic nerve activity in its pathogenesis.

Which organ stores urine prior to being released from the body?

KidneysThis expandable, muscular sac in the lower abdomen stores urine until is it passed (voided) from the body through the urethra.

Is UPJ obstruction genetic?

Minimal hydronephrosis is not genetic and is not hereditary. However, hydronephrosis may coincidentally occur in future pregnancies. If UPJ obstruction is determined to be the cause of the hydronephrosis, the chances for future children with the same obstruction may be as high as 50 percent.

Can hydronephrosis go away on its own?

Although surgery is sometimes needed, hydronephrosis often resolves on its own. Mild to moderate hydronephrosis. Your doctor may opt for a wait-and-see approach to see if you get better on your own. Even so, your doctor may recommend preventive antibiotic therapy to lower the risk of urinary tract infections.

What are the symptoms of a blocked ureter?

Symptoms of a ureteral obstruction include:Abdominal pain on one or both sides (called flank pain)Blood in your urine (called hematuria)Fever.Leg swelling.Reduced urine output (called oliguria)