Plastic surgery of the ureteropelvic segment. Prices, reviews, ratings
General information
The causes of such a disease are often: disorders of the pyelourethral segment, stones in the ureter, excessive mobility of the kidney (nephroptosis). Therefore, this surgical intervention is carried out in order to normalize the correct outflow of urine from the kidney. There are two types of laparoscopic ureteropelvic junction plastic surgery:
- Resection plastic surgery (according to the Anderson-Hines method), in which the abnormal part of the ureteropelvic junction is excised and a connection is made between the pelvis and the ureter. In case of significant expansion of the renal pelvis, the excess part of its tissue base is also removed in order to again prevent obstruction of the urine outflow.
- The Fenger operation is performed by dissecting the ureteropelvic segment lengthwise and suturing it horizontally, which in turn contributes to the expansion of the segment connecting the ureter and the pelvis.
The process of the operation
Preparation
First, a CT scan is performed to determine the general condition of the patient's body. MRI is also possible. It is mandatory to perform renal scintigraphy in order to determine the functioning of the damaged kidney and the stage of its pathological deviation.
The process of performing ureteropelvic junction plastic surgery
Laparoscopic ureteropelvic junction plastic surgery is one of the most effective operations for treating disorders of this part of the human urinary system.
If earlier laparoscopic plastic surgery was performed using one incision in the side, today this operation is performed using 3-4 punctures in the anterior abdominal wall in the following sequence:
- insertion of instruments into the abdominal cavity, mobilization of the colon and access to the kidney;
- isolation of the ureter and renal pelvis;
- installation of a special tube (stent) in the ureter to ensure the patency of the segment (for several weeks);
- installation of a drainage tube for one or two days to ensure that there is no urine leakage from the reconstructed segment.
Special tubes (stent and drainage) are removed in the hospital. From two to seven days, the patient also walks with a catheter to prevent urine from getting into the recovery area.
Rehabilitation period
After the operation, a comparison is made (after six weeks), and renal scintigraphy is also performed again, which is necessarily compared with the study before the operation. This is done in order to identify improvements in the outflow of urine. In more than 90% of cases, laparoscopic ureteropelvic junction plastic surgery provides excellent results and significant improvements.
Indications
This type of surgery is indicated in the event of a functional obstruction in the ureteropelvic junction, which in turn leads to a slowdown in the natural flow of urine through the urinary tract and expansion of the renal pelvis and calyces.
Contraindications
Before the surgery, it is necessary to consult with the attending physician to identify the characteristics of the patient's body.
Complications
Among the unfavorable outcomes of the surgery, one can name:
- the appearance of granules around the catgut sutures;
- infectious processes;
- damage to the ureteral parts;
- formation of hernias.
Prices and clinics
This operation is performed only by an experienced urologist surgeon. 16 private clinics offer this service. Prices for surgical intervention directly depend on the institution chosen by the patient and the number of additional procedures to the operation. To choose the right clinic, you should look at the medical portal . With its help, you can not only familiarize yourself with the list of clinics, but also choose the most suitable option for you.
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