Pieloplastika – Plastic pelvis

Description pyeloplasty

Pieloplastika – operation pochke. When the operation is carried out restoration connection renal pelvis and ureter. Pelvis – an integral part of the kidney. It connects the kidney into the ureter. The ureter is a tube muscle, through which the urine flows into the bladder.

Reasons for pyeloplasty

Pyeloplasty is performed in the presence of blocking kidney ureter. This leads to, that the kidney increases in size, there hydronephrosis. This problem is often found to US or CT.

Possible complications of pyeloplasty

Complications are rare, but the procedure does not guarantee the absence of risk. If you plan to pyeloplasty, you need to know about possible complications, which may include:

• Bleeding;
• Infection;
• Hernia;
• Damage to tissues or organs;
• Persistent leakage of urine;
• Lock ureter.

Factors, that may increase the risk of complications:

• Smoking.

How is pyeloplasty?

Preparing for pyeloplasty

Assays, necessary before surgery, may include:

• Analysis of urine;
• Medical checkup;
• Blood tests.

The intestines should be cleaned. To make it, before the operation you need to drink only clear liquids. Do not eat or drink on the morning of surgery.

Tell your doctor about taking any medications. A week before surgery, perhaps, you need to stop taking certain drugs:

• Aspirin or other anti-inflammatory drugs;
• Blood thinners, such as clopidogrel (Plaviks) or warfarin.

Anesthesia

When applied pyeloplasty general anesthesia, which supports a patient in the sleep state during operation.

Procedure pyeloplasty

Pyeloplasty can be performed both by open surgery, and laparoscopically.

During open surgery side, in kidney, It will make the cut. Doctor restores the renal pelvis to remove the lock. Locked portion of the ureter will be removed. A healthy portion of the ureter will be re-attached to the kidney. The incision in the skin will be closed with stitches.

During laparoscopic surgery, the doctor will use special tools, which are introduced through tiny incisions. Sometimes it is necessary to move the process to open surgery.

In some cases, the ureter may be placed temporary tube (catheter), to drain urine.

How long will pyeloplasty?

About 2-3 hours.

Pieloplastika – Will it hurt?

Anesthesia will block pain during surgery. Minor pain following surgery removed using painkillers.

The average hospital stay

Usually the duration of stay of 2-3 day. Your doctor may prolong hospitalization, if there were complications.

Care after pyeloplasty

Care in a hospital

You will receive pain medication, to ease discomfort after surgery. Also, some discomfort may be felt during urination during the first few days after surgery. The recovery period is usually felt by frequent urination.

Home Care

• If you are sent home with a catheter to drain urine, it can be removed one week after surgery. If the catheter is not used, follow-up visit to the doctor is usually given through 4-6 weeks after surgery;
• Ask the doctor, when it is safe to shower, bath or expose the surgical site to water;
• If you are prescribed antibiotics, you must take the full course of a, even if the painful symptoms have disappeared. Be sure to follow your doctor's instructions.

Contact your doctor after pyeloplasty

After discharge from the hospital need to see a doctor, If the following symptoms:

• Signs of infection, including fever and chills;
• Redness, edema, strong pain, bleeding, or discharge from the needle insertion site;
• Nausea and / or vomiting, that do not pass after taking the prescribed medicines, and persist for more than two days after discharge from the hospital;
• Pain, which does not pass after taking pain medication appointed;
• Pain, burning, frequent urination or persistent blood in the urine;
• Difficulty urinating;
• Other symptoms, especially related to those, that were preoperatively.