Success Rate Above 95%
Laparoscopic pyeloplasty matches open surgery for effectiveness in experienced hands.
UPJ obstruction repair by Dr. Avijit Kumar, MCh urologist and published pyeloplasty author.
Laparoscopic pyeloplasty in Kanpur for ureteropelvic junction (UPJ) obstruction is performed by Dr. Avijit Kumar, a published co-author on pyeloplasty in the Korean Journal of Urology. He is an MCh urologist at Smt Ramkali Memorial Nursing Home, Pandu Nagar, Kakadeo, Kanpur.
The ureteropelvic junction is the point where the kidney narrows and connects to the ureter, the tube that drains urine to the bladder. When this junction is blocked, a condition called UPJ obstruction, urine backs up into the kidney.
Over time the kidney swells, a state known as hydronephrosis, and if the blockage is not corrected the kidney can slowly lose its function. Laparoscopic pyeloplasty is the procedure that repairs this junction and restores normal drainage.
Dr. Avijit Kumar is a published co-author on laparoscopic pyeloplasty in the Korean Journal of Urology. This means the procedure is not just part of his practice. It is part of his research contribution to the field.
Causes
UPJ obstruction can be present from birth or develop later in life:
Many patients are diagnosed when an ultrasound done for another reason reveals a swollen kidney. A renal scan then confirms the blockage and measures how well the kidney is still functioning.
Symptoms
Benefits
Pyeloplasty removes the narrowed segment and reconnects the kidney to the ureter with a wide, freely draining junction.
Laparoscopic pyeloplasty matches open surgery for effectiveness in experienced hands.
Keyhole incisions replace a large flank incision, improving comfort and cosmetic outcome.
Smaller wounds usually mean less post-operative discomfort compared with open surgery.
Most patients go home within about two days, depending on recovery and clinical status.
Many patients return to normal life within two to three weeks after surgery.
The repair restores drainage and helps protect kidney function when performed in time.
Procedure
Under general anaesthesia, Dr. Kumar makes a few small incisions and inserts a laparoscope and fine instruments. The narrowed UPJ segment is removed, and the healthy kidney pelvis is stitched to the ureter to create a wide, smoothly draining junction.
A ureteric stent is placed internally to support healing and is removed about four to six weeks later in a simple outpatient procedure. The operation typically takes two to three hours.
Why Choose Us
The key reason to treat UPJ obstruction promptly is to protect the kidney. A blocked kidney left untreated slowly loses filtering ability, and once that function is lost it cannot be recovered.
Dr. Kumar assesses kidney function carefully before surgery to confirm the kidney is worth preserving and to plan the best approach.
Local Access
Address: Smt Ramkali Memorial Nursing Home, 117-H-2/184, Pandu Nagar, Kakadeo, Kanpur 208005
Phone: +91-9235652646
Serving: Pandu Nagar, Kakadeo, Kidwai Nagar, Govind Nagar, Civil Lines, Unnao and Kanpur Dehat.
For the full range of keyhole urological surgery, visit the laparoscopic urology page. To read about Dr. Kumar's research record, see the about page.
Bring ultrasound, CT urography, renal scan, kidney function tests and prior surgery records if available.
Call +91-9235652646FAQ
UPJ obstruction is a blockage at the junction where the kidney meets the ureter, causing urine to back up and the kidney to swell. It is serious if left untreated because prolonged blockage can permanently damage the kidney.
Laparoscopic pyeloplasty has a success rate above 95% in experienced hands, matching traditional open surgery while offering smaller scars and faster recovery.
Most patients stay in hospital for about two days and return to normal activity within two to three weeks. A ureteric stent placed during surgery is removed four to six weeks later.
A ureteric stent can cause mild urinary urgency or a slight ache in the side for some patients. These symptoms are usually manageable and resolve completely once the stent is removed.
Recurrence after successful pyeloplasty is uncommon, occurring in fewer than 1 in 20 patients. Follow-up imaging confirms successful drainage after stent removal.
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Smt Ramkali Memorial Nursing Home, 117-H-2/184, Pandu Nagar, Kakadeo, Kanpur 208005