About Laparoscopic Pyeloplasty
Key Highlights
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Minimally invasive approach with small incisions leading to less post-operative pain.Superior cosmetic results with minimal scarring compared to open surgery.Shorter hospital stay, typically 1-3 days.Reduced blood loss during the procedure.Faster overall recovery and return to normal activities.High success rates (over 90%) in relieving obstruction and preserving kidney function.liEnhanced visualization for the surgeon using a laparoscope./li/ul
Who is this surgery for?
- Symptomatic ureteropelvic junction obstruction (UPJO) causing flank or abdominal pain.
- Progressive kidney swelling (hydronephrosis) detected on imaging.
- Impaired kidney function or a decline in renal function due to the blockage.
- Recurrent kidney infections (pyelonephritis) associated with the obstruction.
- Development of kidney stones in the affected kidney.
- High blood pressure (hypertension) potentially linked to the obstruction.
- In children, failure to thrive or a palpable abdominal mass.
How to prepare
- Comprehensive medical evaluation, including a detailed history and physical exam.
- Diagnostic imaging such as a CT urogram, renal ultrasound, or MAG3 Lasix renal scan to confirm UPJO.
- Pre-operative blood tests, urine analysis, and sometimes an ECG or chest X-ray.
- Discussion of all medications; you may need to stop blood thinners (e.g., aspirin, warfarin) several days prior.
- Fasting (no food or drink) for 6-8 hours before the surgery.
- Informed consent process detailing the procedure, benefits, and risks.
- Arranging for help at home and time off work for the recovery period.
Risks & possible complications
- Bleeding or infection at the incision sites or internally.
- Injury to surrounding organs, blood vessels, or nerves.
- Urine leakage from the surgical connection (anastomosis).
- Recurrence of the obstruction or stricture requiring further treatment.
- Risks associated with general anesthesia.
- Conversion to an open surgical procedure if laparoscopic repair is not feasible.
- Formation of scar tissue (adhesions) internally.
- Persistent pain or discomfort.
Recovery & hospital stay
- Hospital stay is typically 1-3 days for monitoring and pain management.
- A temporary internal stent is usually placed to support healing and is removed in a simple office procedure 4-6 weeks later.
- Oral pain medication will be prescribed for discomfort, which subsides significantly within a week.
- Light activities like walking are encouraged immediately, but avoid heavy lifting (more than 10 lbs) and strenuous exercise for 4-6 weeks.
- Keep incision sites clean and dry; you may shower but avoid baths until fully healed.
- Follow a balanced diet and drink plenty of fluids to aid healing and prevent constipation.
- Attend all scheduled follow-up appointments for imaging (e.g., ultrasound) to ensure the obstruction is resolved.
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Typical hospital stay: 1-3 days
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Expected recovery time: 2-4 weeks for normal activities, 6-8 weeks for full recovery and strenuous work
Frequently Asked Questions
If you are considering laparoscopic pyeloplasty in India, these questions and answers can help you make a confident, informed decision.
Popular choices for laparoscopic pyeloplasty 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 laparoscopic pyeloplasty. 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 laparoscopic pyeloplasty compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 120 Thousand – 250 Thousand | 1-3 days | ~ 2-4 weeks for normal activities, 6-8 weeks for full recovery and strenuous work | Know More |
| Turkey | TRY 420 Thousand – 875 Thousand | 1-3 days | ~ 2-4 weeks for normal activities, 6-8 weeks for full recovery and strenuous work | Know More |
Top hospitals for Laparoscopic Pyeloplasty in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing laparoscopic pyeloplasty.
Aadya Johnson, a 28-year-old elementary school...
Aadya Johnson, a 28-year-old elementary school teacher and avid runner, began experiencing a dull, persistent ache in her right side during her morning jogs. Over several months, the pain intensified, sometimes accompanied by nausea. A CT scan revealed a congenital UPJ obstruction, explaining her lifelong tendency for frequent UTIs. Her urologist, Dr. Ellis, explained that her kidney's drainage system was narrowed, causing backup and pain, especially during high fluid intake from running. He recommended a laparoscopic pyeloplasty to reconstruct the connection, emphasizing its minimally invasive nature and high success rate. Aadya was anxious about surgery and taking time off her active life. The procedure went smoothly, with three small incisions. Her recovery involved two nights in the hospital managing pain with medication and walking the halls. At home, she followed strict lifting restrictions for six weeks, feeling frustrated by her temporary limitations. However, by week eight, she was cleared for light jogging. The flank pain was completely gone. Emotionally, Aadya transitioned from fear and frustration, worrying her running days were over, to profound relief and gratitude. She felt she had her life and her passion back, with a renewed appreciation for her health.
Urologists for Laparoscopic Pyeloplasty
Explore experienced urologists who regularly perform laparoscopic pyeloplasty 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