About Endopyelotomy
Key Highlights
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Minimally invasive procedure with no external skin incision.Typically performed under general or spinal anesthesia.Primary goal is to relieve obstruction and restore normal urine flow from the kidney.Shorter hospital stay compared to open pyeloplasty.Generally results in less post-operative pain and a quicker return to normal activities.High success rates in treating UPJ obstruction./ul
Who is this surgery for?
- Symptomatic ureteropelvic junction (UPJ) obstruction causing flank pain.
- Impaired kidney function (renal impairment) due to the obstruction.
- Recurrent kidney infections (pyelonephritis) associated with the blockage.
- Progressive kidney swelling (hydronephrosis) detected on imaging studies.
- Kidney stones forming due to poor drainage from the obstructed system.
How to prepare
- Complete medical history review and physical examination by the urologist.
- Pre-operative imaging tests such as a CT urogram or renal scan to confirm the diagnosis and plan the procedure.
- Blood tests and urine analysis to assess overall health and kidney function.
- Discussion of anesthesia options and associated risks with the anesthesiologist.
- Fasting for 6-8 hours before the procedure as instructed.
- Discontinuation of certain medications like blood thinners (aspirin, warfarin) as advised by the doctor.
Risks & possible complications
- Bleeding during or after the procedure.
- Infection of the urinary tract or kidney.
- Injury to the ureter or surrounding structures.
- Failure to relieve the obstruction, requiring a repeat procedure or open surgery.
- Stent-related discomfort, urgency, or frequency of urination.
- Formation of scar tissue (restenosis) at the treatment site over time.
- Rare complications include urine leakage or damage to adjacent organs.
Recovery & hospital stay
- Hospital stay is typically 1-2 days for observation.
- A temporary internal stent is left in place for 2-6 weeks to keep the ureter open as it heals.
- Drink plenty of fluids to help flush the system and reduce stent discomfort.
- Mild pain or burning during urination and some blood in the urine is common initially.
- Avoid strenuous activities, heavy lifting, and driving for 1-2 weeks or as advised.
- Stent removal is a quick, outpatient procedure performed by the urologist after the healing period.
- Follow-up imaging is scheduled to confirm the success of the procedure and improved kidney drainage.
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Typical hospital stay: 1-2 days
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Expected recovery time: 2-3 weeks
Frequently Asked Questions
If you are considering endopyelotomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for endopyelotomy in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endopyelotomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endopyelotomy compare across other countries where we have data.
Top hospitals for Endopyelotomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing endopyelotomy.
Vihaan Jones, a 28-year-old software engineer...
Vihaan Jones, a 28-year-old software engineer and avid rock climber, began experiencing sharp, intermittent pain in his right flank about a year ago. Initially, he dismissed it as muscle strain from his active lifestyle. However, the pain became more frequent and intense, often waking him at night. A CT scan revealed a congenital narrowing (ureteropelvic junction obstruction) in his right kidney's drainage system, causing it to swell with backed-up urine. His urologist, Dr. Evans, explained that while Vihaan was born with this, it was only now becoming symptomatic. She recommended an endopyelotomy, a minimally invasive procedure to cut the narrow segment and place a stent to allow healing. Vihaan was anxious about the surgery and the temporary stent, fearing it would sideline his climbing. The procedure itself was smooth, done through a scope with no external cuts. The stent caused significant bladder discomfort for six weeks, which was frustrating. After its removal, a follow-up scan showed excellent drainage. The flank pain vanished. Vihaan felt a wave of relief and gratitude; the temporary discomfort was worth the long-term fix. He returned to climbing with renewed appreciation for his health, feeling emotionally unburdened from the constant worry of the next pain flare-up.
Urologists for Endopyelotomy
Explore experienced urologists who regularly perform endopyelotomy and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore