Ureteropelvic Junction Obstruction Treatment in Mumbai
UPJ obstruction is often congenital, meaning it develops before birth. In many cases, it results from a narrowing of the ureter or an abnormal blood vessel that compresses the ureter. This condition is more common in males and can lead to significant kidney damage if not addressed. While some cases may resolve on their own, others require surgical intervention to restore normal urine flow.
Dr Amit Gala treats Ureteropelvic Junction Obstruction with effective treatment methods.
Ureteropelvic Junction Obstruction (UPJ) is a condition characterized by a blockage at the junction where the ureter meets the renal pelvis of the kidney. This obstruction can prevent urine from flowing freely from the kidney to the bladder, leading to potential complications such as hydronephrosis, which is the swelling of the kidney due to urine build-up.
Symptoms of Ureteropelvic Junction Obstruction
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Diagnostic Procedures
Diagnosing these conditions typically involves:
- Ultrasound: This is often the first test performed to assess kidney size and detect hydronephrosis.
- MAG III Renal Scan: An isotope is injected into a vein to evaluate kidney function and determine the degree of obstruction.
- Voiding Cystourethrogram (VCUG): This X-ray examines the urinary tract and bladder to identify any abnormalities.
- MRI/MRU: Advanced imaging techniques may also be used for detailed visualization.
Ureteropelvic Junction Obstruction Treatment
1. Pyeloplasty
Pyeloplasty is the most common surgical procedure used to treat UPJO. It involves removing the obstructed segment of the ureter and reconnecting it to the kidney. There are different approaches to pyeloplasty:
- Open Pyeloplasty: This traditional method involves a larger incision and has a high success rate of over 90%. It allows direct access to the kidney and ureter, making it easier for surgeons to address complex cases
- Laparoscopic Pyeloplasty: This minimally invasive technique uses small incisions and specialized instruments. It offers benefits such as reduced postoperative pain, shorter hospital stays, and quicker recovery times compared to open surgery
- Robotic-Assisted Pyeloplasty: Similar to laparoscopic pyeloplasty, this technique utilizes robotic technology for enhanced precision. It is particularly useful in complicated cases or when previous surgeries have failed. The success rates are comparable to those of open surgery
2. Endopyelotomy
Endopyelotomy is a less invasive option where a telescope or balloon with an electric wire is used to cut open the scar tissue from within the ureter. This procedure can often be performed on an outpatient basis with minimal anesthesia. However, it has lower long-term success rates compared to pyeloplasty and may result in persistent pain for some patients
Non-Surgical Management
In some cases, particularly when symptoms are mild or absent, a conservative approach may be taken:
- Observation: Patients with mild UPJO and preserved kidney function may be monitored without immediate intervention. Regular follow-ups are essential to assess kidney function and any changes in symptoms
- Medical Management: While medical treatments cannot resolve UPJO, they can help manage symptoms, such as urinary tract infections (UTIs), which may occur due to urine stagnation. Antibiotics may be prescribed to prevent infections while monitoring renal function
Frequently Asked Questions
What causes UPJ obstruction?
UPJ obstruction usually occurs due to congenital factors, such as a narrow ureter or an abnormal blood vessel. It can also develop later in life due to conditions like kidney stones or scarring.
How is UPJ obstruction treated?
Treatment often involves surgical intervention known as pyeloplasty. This procedure can be performed laparoscopically or robotically to remove the blockage and reconnect the ureter to the renal pelvis.
What are the risks if UPJ obstruction is left untreated?
Untreated UPJ obstruction can lead to persistent hydro nephrosis, kidney damage, infections, and potentially loss of kidney function over time.
: Is surgery necessary for all cases of UPJ obstruction?
Not all cases require surgery. Some mild obstructions may resolve on their own, while others that cause significant symptoms or kidney damage will necessitate surgical correction.
Consult us for Uro-Cure Treatment
Consult Dr Amit Gala for Ureteropelvic Junction Obstruction treatment in Mumbai or Blood in Urine, Frequent Urinary Tract Infection, Concerns seek medical advice promptly from Dr Amit Gala’s – UROCURE, Urology Clinic Situated at Kandivali West, in Mumbai. Early diagnosis and treatment are crucial for effective management of these conditions.
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