Robotic Pyeloplasty

This is a minimally invasive procedure that, when performed by Dr. Razdan, can help cure kidney blockage occurring at the UPJ-uureteropelvic junction (the point where the kidney joins the ureter). The UPJ can get narrow or blocked due to several reasons, including poor urinary drainage, pain, and the deterioration of kidney function. Dr. Shirin Razdan has successfully performed a large number of robotic UPJ repairs on patients who failed pyeloplasties in the past.

What is Robotic Pyeloplasty?

Ureteropelvic Junction (UPJ) is a condition characterized by a blockage of urine outflow from the kidney. The condition may result from congenital scarring or pressing a blood vessel on the ureter. UPJ is painful and may cause issues such as infection, kidney stones, and even loss of kidney function. Pyeloplasty is a surgical procedure involving the removal of the UPJ obstruction. Dr. Razdan aims to restore the normal functioning of urine outflow. Traditionally, the procedure was performed as an open surgery by making an 8–12-inch incision in the flank. Today, the surgery is performed in a minimally invasive way, known as robotic pyeloplasty, a minimally invasive alternative procedure with success equal to that of traditional open surgery. The best part is that this procedure comes with many additional benefits, including:

• Less postoperative pain
• A shorter hospital stay
• Earlier return to normal activity
• Better cosmetic result

How does Pyeloplasty Surgery Work?

The pyeloplasty procedure performed by Dr. Shirin Razdan comprises the following steps: Step 1: The procedure starts with the patient being put into a deep sleep under general anesthesia (this helps the patient to avoid any pain or discomfort throughout the procedure). Step 2: Dr. Razdan will make one or more tiny incisions in the patient’s stomach area on the side of the affected kidney. Step 3: The narrowed or blocked part of the ureter will be removed surgically. Step 4: The ureter is attached again to the renal pelvis of the kidney. In most cases, Dr. Razdan places a stent (small tube) inside or outside the section where surgery is done. Of course, a catheter is placed on the other side of the stent for the collection of urine. This is only temporary until the kidney heals and begins to function properly. Step 5: Finally, the incision is closed by a suture.