How is UPJ obstruction treated?
Treatment. Most cases of UPJ obstruction actually do not require surgery and resolve on their own. However, if patients exhibit pain, recurrent infections, evidence of worsening function or increasing swelling, they may require a surgery called a pyeloplasty to prevent kidney injury and correct the blockage.
What is UPJ obstruction in kidney?
Ureteropelvic junction (UPJ) obstruction occurs when the area connecting the renal pelvis (part of the kidney) to one of two tubes that connect with the bladder (ureter) becomes blocked, causing urine to build up, which damages the kidneys.
What are the symptoms of UPJ obstruction?
What are the symptoms of ureteropelvic junction obstruction?
- Lump in the abdomen.
- Urinary tract infection with fever.
- Pain in the upper abdomen or back, usually after drinking fluids.
- Kidney stones.
- Blood in the urine.
- Vomiting.
- Poor growth in an infant.
Is UPJ considered kidney disease?
Ureteropelvic junction (UPJ) obstruction is a condition where the part of the kidney that normally drains urine becomes blocked. This blockage prevents the normal flow of urine out of the kidney and into the bladder, which can lead to kidney damage and swelling (called hydronephrosis).
Can UPJ cause pain?
UPJ obstruction may also cause pain without an infection. Some cases of UPJ obstruction are not clear. Urine may drain normally at times, and at other times be blocked.
How long is UPJ obstruction surgery?
The Surgery 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 painful?
UPJ obstruction may also cause pain without an infection. Some cases of UPJ obstruction are not clear. Urine may drain normally at times, and at other times be blocked. This causes pain that comes and goes.
How do they fix a blocked kidney?
There are three main surgical options for a UPJ obstruction: endopyelotomy, open pyeloplasty, and minimally invasive pyeloplasty. In an endopyelotomy procedure, a doctor threads an instrument up through the bladder and ureter into the kidney junction to cut or burn away blockages.
How painful is a pyeloplasty?
The site of the cut may be sore for a few days or weeks. Some children have discomfort or a little pain from the stent the entire time it is in place. Your child may have blood in the urine as long as the stent is there. Your child can return to normal activities within 3-5 days of the operation.
Is robotic kidney surgery painful?
Both can be very painful. Robotic surgery involves a few small “keyhole” incisions to insert the robotic surgical instruments and a camera. This minimally invasive approach offers several other benefits, including: Smaller incisions, which means less scaring and faster healing.
Is a kidney blockage serious?
A ureteral obstruction is a blockage in one or both of the tubes (ureters) that carry urine from the kidneys to the bladder. Ureteral obstruction can be cured. However, if it’s not treated, symptoms can quickly move from mild — pain, fever and infection — to severe — loss of kidney function, sepsis and death.