Laparoscopic Pyeloplasty

UPJ ObstructionPyeloplasty Repair

Pyeloplasty is reconstructive surgery performed on the pelvis of the kidney to correct an obstruction of the ureteropelvic junction which connects the kidney and the ureter. By removing the blockage, urine will be able to drain freely from the kidney to the bladder.
Prior to surgery you will be asked to do a bowel prep and a clear liquid diet.

  • Magnesium Citrate
  • HalfLytely

What can I expect after surgery?

  • You will have a 1-2 day hospital stay.
  • You will have a stent placed during surgery. The stent will be removed in 6 weeks.
  • Stent removal is done through a lighted telescope that is passed through the urethra into the bladder called a cystoscopy in the office.

You will be expected to do breathing exercises called incentive spirometry to prevent respiratory infections.

On the day after surgery it is very important to get out of bed and begin walking. This will help prevent Deep Vein Thrombosis (DVT). Please follow the DVT prevention handout.

Your bowels may be sluggish after surgery and pain medication can increase constipation. Follow the post op bowel program handout.

Use your pain medication as directed.

You may shower when you go home do not bathe or sit in a hot tub for 2 to 3 weeks.

  • You will have steri strip over your incision and these will fall off in 5-7 days.
  • You can use a heating pad on the incision to help with muscle soreness.
  • Use your pain medication as directed if needed
    Activity and post op restrictions

Walking and light exercise is important in prevent DVTs.

  • You should expect to return to work in 2 to 4 weeks
  • You should reduce your activity levels for the first 6 weeks while healing
  • Use stairs gently for the first week
  • No heavy lifting, pushing, or pulling over 10-15 lbs for 4 to 6 weeks
  • No strenuous exercising for 4 to 6 weeks
  • Do not drive for the first 2 weeks after surgery. Do not drive while taking narcotics.

Medication

  • You should resume your pre-surgery medication unless told otherwise.
  • Do not take any aspirin products for the first two weeks.
  • If you are taking Warfrin or Plavix this should be followed by your primary care provider postoperatively. They will discuss with you when to resume medication and dosing recommendations.
  • If you are taking pain medication or iron supplements you should also be taking a stool softener to keep the stool soft.
  • If your pain is mild you can stop taking the pain medication and switch to acetaminophen.

Medications to have at home before surgery:

  • Stool Softener
  • Fiber
  • Milk of Magnesia
  • Acetaminophen
  • Frozen peas or Ice packs
  • Magnesium Citrate or HalfLytely bowel prep

If you are experiencing any of these symptoms please call Urology Northwest at 425-275-5555:

  • Fever over 101 fahrenheit by mouth
  • Pain not relieved by medication
  • Rash, itching after taking pain medication
  • Continued nausea and vomiting
  • Abnormal swelling around operative site
  • Increased redness, warmth, hardness around operative site
  • Excessive drainage from operative site
  • Excessive bleeding from operative site (small amounts of oozing may be normal)
  • Inability to urinate
  • Swelling of the calf, ankle or foot
  • Increased warmth of the leg
  • Pain in the leg
  • Bluish discoloration of the skin or leg

Postoperative follow up

You will need a follow-up appointment to monitor your progress in typically 4-6 weeks. You will be called for a postoperative follow up 1 to 2 days after surgery and you can make your post operative appointment at that time or by calling and speaking to a receptionist. If you have a catheter and or staples, your follow up appointment will typically be within 1 to 2 weeks after surgery and again in 4-6 weeks.