Ureteropyelostomy

Ureteropyelostomy is a surgical operation in which an anastomosis is made between the ureter and the pyelocaliceal system of the kidney.

The purpose of this intervention is to restore the normal outflow of urine from the kidney in case of obstruction of the ureter. The operation is indicated for ureteral strictures that are not amenable to balloon dilatation, as well as for ineffective ureteroplasty.

During ureteropyelostomy, the surgeon performs an anastomosis between the upper third of the ureter and the renal collecting system. This allows urine to flow freely from the kidney, bypassing the narrowed section of the ureter. Access is through lumbotomy or laparotomy.

Ureteropyelostomy is an effective way to restore urodynamics of the upper urinary tract. However, in the postoperative period, regular monitoring is required for timely detection of possible complications.

Ureteropyelostomy: Surgery to restore normal urine flow

Introduction:
Ureteropyelostomy is a surgical procedure performed to restore the normal flow of urine from the ureter into the renal pelvis. This operation may be necessary for various pathological conditions that lead to disruption of the normal drainage of urine from the kidneys. Ureteropyelostomy is an effective treatment for these conditions and can prevent further kidney damage and preserve kidney function.

Description of the procedure:
Ureteropyelostomy involves creating an artificial opening (stoma) between the ureter and the renal pelvis. This is done through a surgical incision at the level of both organs, after which the connection is made with holes. This allows urine from the ureter to pass directly into the pelvis, bypassing obstructions that may cause urine drainage problems.

Indications for ureteropyelostomy:
Ureteropyelostomy may be recommended in the following cases:

1. Urinary tract obstruction: Some medical conditions, such as urinary tract stones or tumors, can cause complete or partial obstruction of the ureter. A ureteropyelostomy may be necessary to bypass these obstructions and allow normal urine drainage.

2. Ureterovesical reflux: This is a condition in which urine from the bladder rises back into the ureter and kidneys. Ureteropyelostomy may be used to prevent recurrent urinary reflux and protect the kidneys.

3. Congenital anomalies: Some children may have congenital abnormalities of the urinary tract that can cause urine drainage problems. Ureteropyelostomy may be recommended to correct these abnormalities and restore normal urinary flow.

Postoperative period and prognosis:
After a ureteropyelostomy, patients usually need some time to recover. They may require catheterization to remove urine during the initial period after surgery. In most cases, ureteropyelostomy improves symptoms and restores normal kidney function. However, results may vary depending on the underlying disease and individual patient characteristics.

Finally:
Ureteropyelostomy is an important surgical procedure that restores the normal flow of urine from the ureter into the renal pelvis. It is widely used to treat various diseases that lead to impaired urine drainage. Ureteropyelostomy prevents further kidney damage and preserves kidney function. If you experience symptoms that indicate urinary drainage problems or other urinary tract problems, contact your doctor for advice and recommendations for further treatment.