the pyeloplasty operation
You are admitted to hospital on the morning of surgery, having been "nil by mouth" for some hours prior to surgery to ensure a safe general anaesthetic. Once in the operating theatre, you are turned on your side and prepared for laparoscopic “keyhole” surgery. Three small incisions are made and the robotic instruments are introduced into the body. The surgeon controls the robotic instruments to dissect the kidney and ureter tube to demonstrate the narrow tube segment. The pyeloplasty “replumbing” procedure is then carried out to form a well-draining funnel that will allow free drainage of urine from the kidney into the bladder. A small plastic tube (“J-J stent”) is placed within the urinary system at this stage to protect the surgical stitch join while it heals. This can be removed after about 4 weeks in the outpatient department using a flexible cystoscope. The patient will usually have a small drain placed at this time as a precaution to remove any excess fluid around the operative stitch line immediately after the operation. A urinary catheter tube is also placed at this time. Both drain and catheter are usually removed a few hours after the operation and if all is well, you can be discharged within 24hrs.