| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Pyeloplasty or Endopyelotomy cost in India | $5000 | Single | Patient - 2 days stay in a single room. |
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Pyeloplasty is surgery used to correct a condition called ureteropelvic junction (UPJ) obstruction. UPJ obstruction blocks the flow of urine out of the kidney into the ureter. The ureter is a tube attaching the kidney to the bladder. The blockage is at the point where the kidney (renal pelvis) attaches to the ureter (ureteropelvic junction).
UPJ obstruction mostly happens in children. When the condition is present from birth, it is called a congenital condition. The blockage happens when the area between the ureter and part of the kidney becomes too narrow. This condition happens as the kidney is forming. It can result in a damaged kidney from urine buildup and increased pressure in the kidney. Usually, only one kidney is affected.
Other causes of blockage for adults and children include:
UPJ obstruction is typically found with an ultrasound before the baby is born. Sometimes the blockage will not show until after birth.
After birth, tests can be performed including:
Symptoms of UPJ obstruction include:
Treatment
UPJ obstruction can be treated with surgery. If the condition is severe, this may need to be done early in life. Mostly, surgery can wait until later in life. Surgery is not required for all cases. After a successful surgery, the urine will flow normally. For children, open surgery is often done. For adults, less invasive surgery may be done. The procedure is known as pyeloplasty. The process takes a few hours.
During pyeloplasty, a 2-3 inch cut is made just below the ribs. The obstructed segment of ureter is removed. The normal caliber ureter is then reattached to the renal pelvis. A stent (a tiny wire-meshed tube) is placed to drain urine from the kidney. After the surgery heals, the stent will be removed. The more common approach currently in adults is robotic-assisted or laparoscopic pyeloplasty. The same type of repair is done, however, through multiple small (8 - 10mm) incisions. A ureteral stent is then placed.
Although this procedure has proven to be very safe, as in any surgical procedure there are risks and potential complications.
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Open pyeloplasty has been the gold standard for surgical treatment of ureteropelvic junction (UPJ) obstruction, enjoying a long-term success rate exceeding 90%. This procedure requires a muscle incision that entails some degree of morbidity.
