Mr Thyer offers specialist management of prostate cancer.
Mr Thyer has a special interest in robotic and laparoscopic surgery for prostate and kidney cancer but also performs surgery for many other urological conditions.
Urine is transported from the kidney via the ureter to the bladder. The PUJ is the join between the kidney and the ureter. Occasionally the PUJ becomes narrow causing a blockage in the flow of urine from the kidney to the ureter. This can result in deterioration in kidney function, pain or infection.
Mr Thyer has recommended laparoscopic pyeloplasty to fix the narrowing in the PUJ.
Ten days prior to the procedure you should:
On arrival at hospital you will be prepared for theatre by nursing staff. Mr Thyer will see you just prior to being taken into the operating theatre. You will require a general anaesthetic of approximately 1.5 hours. Mr Thyer will make a series of 3-4 small incisions in the abdomen to allow the passage of the laparoscopic instruments. The PUJ will be dissected free from the surrounding structures, the narrowed section removed then the ureter will be sutured back on to the renal pelvis so that the narrowing is no longer present. The PUJ may be sent to a pathologist for microscopic examination (you may incur a pathologist fee). A stent will be left in place within the ureter to act as a splint whilst the new PUJ heals. After the operation a small drain will be left in the abdomen and a catheter in the bladder. Most people are in hospital 1-2 nights then discharged home after Mr Thyer’s review.
The narrow UPJ is cut out or cut open and a wider connection is constructed. A temporary stent or nephrostomy tube may be placed.
Following the procedure, you should contact Mr Thyer if you:
Download Pyeloplasty for PUJ obstruction by the Canadian Urological Association