Robotic Pyeloplasty

This is a minimally invasive procedure in which an obstruction of the kidney is repaired. This blockage is called ureteropelvic junction obstruction, also known as UPJ obstruction. UPJ obstruction develops when the channel that carries urine from the kidney to the bladder is narrowed; the resultant backup of urine can causes swelling and pain in the kidney. In the past, UPJ obstruction was repaired by open surgery. Surgical repair entailed removal of the obstructed segment of the channel and fashioning a more open reconnection (98 percent success rate). The open surgical repair required a large incision and a few days in the hospital.

Repairs of UPJ obstruction can be successfully performed utilizing the da Vinci robot. Using 5 dime-sized incisions, the blockage is repaired. The success rate for this procedure has been found to be equivalent to the open procedure, but patients generally go home the day after surgery. Full recovery from this procedure is generally a couple of weeks, whereas it was considerably longer following the open procedure.