What is pyeloplasty?
Pyeloplasty is the surgery for revision or reconstruction of
the renal pelvis to decompress and drain the kidney. Generaly this surgery is
performed if the renal function is not performing adequately then it is done to
treat the uretero-pelivic junction. This surgery for revision of the renal
pelvis or complete or reconstruction of renal pelvis is excising the
uretero-pelvic junction and stenotic region of the renal pelvis to treats the
obstruction and develop more capable conduit with the help of remaining renal
pelvis and ureter tissues.
Why does my child
need a pyeloplasty?
If in any scenario the child is experiencing the blockage at
the portion where the ureter and renal pelvis got connected with each other. It
is the region where the tube carries out the urine from kidney to bladder. This
narrowing and blockage leads to the kidney dilation, which in medical terms
called the condition of hydronephrosis. This condition can usually be diagnosed
with the help of kidney scan and ultrasound.
Where is the
incision?
There are various angles to perform this surgery. Generally
the incision or cut will be done on your child’s side. Before the surgery, the
surgeon is going to discuss the location of the incision with you and after the
discussion the most appropriate location will be decided mutually for the
surgery. All the sutures (i.e. stitches) will dissolve automatically.
How long will the
surgery take?
The pyeloplasty surgery generally takes 2-3 hours. During
the surgery you will continuously get the update regarding the surgery from the
nurse or the assistant doctor.
Will my child have
problems urinating after surgery?
After this surgery, as the bladder catheter, it is very
usual feeling or need in children to urinate frequently and also experience
some kind of discomfort during urination for initial few times. Make your
children to sit in the tub filled with warm water will provide them some
relief. Placing a warm and damp washcloth on the skin between scrotum and anus
in male child and between vulva and anus in female child can also provide some
relief and make your child feel more comfort.
What kind of side
effects do the medications have?
Many Children do not like this surgery procedure. Some of
the medications are prescribed to child after surgery like Demerol, Droperidol
or Morphine. Here are some of the side-effects that a child can experience due
to these medications:
1. children drowsy
2.
children react differently
3.
become overexcited
4.
nervous
5.
develop a rash
6.
Constipation
What is the follow-up
after surgery?
Generally the child has to stay at hospital for a day or two
after the surgery. If any catheter or drain is placed, then an appointment
should be made within a week after surgery to remove it. If no catheter is
placed then you can schedule an appointment in 4 weeks after the surgery. It is
crucial and need assistance that the child has to take antibiotics till this
time after surgery.
The child has to be schedule for ultrasound scan of the
kidney for 1-2 months, to continuously diagnose if any kind of blockage is at
the site of the surgery. Children who have the pyeloplasty surgery done might
get urinary tract infections. If you see any kind of symptoms of the infection,
please contact the pediatricians as soon as possible.
Check the list, if your children have any of these symptoms
then please contact the pediatricians:
- Difficulty urinating
- Excessive bleeding
- Vomiting
- Return of symptoms experienced prior to procedure
- Extreme irritability
- Temperature greater than 101° F
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