Ureteropelvic junction (UPJ) obstruction is a blockage in the area that connects the renal pelvis (part of the kidney) to one of the tubes (ureters) that move urine to the bladder. It generally occurs when a baby is still growing in the womb. This is called a congenital condition (present from birth).
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Is UPJ obstruction serious?

If undiagnosed or left untreated, chronic UPJ obstruction can lead to significant kidney damage and the gradual loss of kidney function. This is especially true of patients who are diagnosed later in life. Urinary tract infections become common and can be more serious than usual.

What does UPJ obstruction feel like?

In infants, symptoms of UPJ obstruction may include a mass in the abdomen, blood in the urine, and failure to thrive. Older children and adults may experience intermittent flank pain that worsens with caffeine consumption (or alcohol in adults) and nausea and vomiting.

How long is UPJ obstruction surgery?

The typical length of the operation is three to four hours. The surgery is performed through three small (1 cm) incisions made in the abdomen.

Is UPJ considered kidney disease?

The urine is pooled at the UPJ, and then flows down the ureters to the bladder. In UPJ obstruction, the flow of urine is slowed or stopped completely. This raises the risk of kidney damage. In most cases of UPJ obstruction, only one of the kidneys is affected.

How do you fix a UPJ obstruction?

Most cases of UPJ obstruction actually do not require surgery and resolve on their own. However, if patients exhibit pain, recurrent infections, evidence of worsening function or increasing swelling, they may require a surgery called a pyeloplasty to prevent kidney injury and correct the blockage.

How do they fix a blocked kidney?

Your doctor (urologist) may recommend: A ureteral stent, a hollow tube inserted inside the ureter to keep it open. Percutaneous nephrostomy, during which your doctor inserts a tube through your back to drain the kidney directly.

Can UPJ cause pain?

UPJ obstruction may also cause pain without an infection. Some cases of UPJ obstruction are not clear. Urine may drain normally at times, and at other times be blocked.

How common is UPJ in adults?

Though UPJ obstruction occurs in adults less frequently than in neonates, it is not a rarity.

What is a baggy kidney?

Hydronephrosis occurs when a kidney has an excess of fluid due to a backup of urine, often caused by an obstruction in the upper part of the urinary tract.

How long does it take to recover from UPJ surgery?

No heavy lifting or exertion for up to 4 weeks following surgery. Patients may begin driving once they are off of narcotic pain medication and have full range of motion at their waist. Most patients can return to full activity including work on an average 3-4 weeks after surgery.

How long does it take to recover from ureter surgery?

Most people who have surgery to correct a stricture feel better about 7 to 10 days after surgery.

How painful is a pyeloplasty?

Is a pyeloplasty painful? You or your child may feel some pain after pyeloplasty. The pain may go away after a week and you or your child will be given medications to help minimize this pain.

What is kinking of ureter?

Kinking arises as a consequence of the ureter adjusting length when the kidney descends. Kinking is seen at the area where the ureter is relatively mobile, that is, where it runs in the perirenal space. The boundary of the perirenal portion of the ureter can be determined approximately by finding the level of the CP.

What size of kidney stone requires surgery?

The larger a stone is, the less likely that it will pass without surgery. Surgical treatment is usually recommended for stones 0.5 centimeters in size and larger, as well as for patients who fail conservative management.

Can UPJ cause kidney failure?

If untreated, UPJ obstruction can lead to permanent loss of kidney function (kidney failure). Kidney stones or infection may occur in the affected kidney, even after treatment.

What is a ureteral reimplantation?

The ureters are the tubes that carry urine from the kidneys to the bladder. Ureteral reimplantation is surgery to change the position of these tubes where they enter the bladder wall.

Can kidneys be removed?

Nephrectomy (nephro = kidney, ectomy = removal) is the surgical removal of a kidney. The procedure is done to treat kidney cancer as well as other kidney diseases and injuries. Nephrectomy is also done to remove a healthy kidney from a donor (either living or deceased) for transplantation.

Is UPJ obstruction genetic?

Minimal hydronephrosis is not genetic and is not hereditary. However, hydronephrosis may coincidentally occur in future pregnancies. If UPJ obstruction is determined to be the cause of the hydronephrosis, the chances for future children with the same obstruction may be as high as 50 percent.

Is drinking a lot of water good for your kidneys?

Water helps the kidneys remove wastes from your blood in the form of urine. Water also helps keep your blood vessels open so that blood can travel freely to your kidneys, and deliver essential nutrients to them. But if you become dehydrated, then it is more difficult for this delivery system to work.

Is a blocked kidney serious?

Severe cases of urinary blockage and hydronephrosis can damage the kidneys and lead to kidney failure. If kidney failure occurs, treatment will be needed with either dialysis or a kidney transplant. However, most people can recover from hydronephrosis if treated promptly.

What color is urine when your kidneys are failing?

Brown, red, or purple urine Kidneys make urine, so when the kidneys are failing, the urine may change. How? You may urinate less often, or in smaller amounts than usual, with dark-colored urine. Your urine may contain blood.

What is puj narrowing?

PUJ obstruction refers to a narrowing of the junction, resulting in obstruction to the flow of the urine from the kidney to the ureter. The condition affects approximately one person in every 1000 adults and tends to occur more in men.

Where is flank pain?

Flank pain is pain in one side of the body between the upper belly area (abdomen) and the back. There are three body views (front, back, and side) that can help you to identify a specific body area.

How long does Nephrostomy surgery take?

Having a nephrostomy It can take 30 to 60 minutes. Your doctor or nurse will put a fine tube (cannula) into a vein in your arm. They may use this to give you: a drip (infusion) of fluids.

Can UPJ obstruction cause high blood pressure?

Hypertension is an incompletely understood complication of UPJ obstruction. Animal and human models have implicated the renin–angiotensin system, oxidative stress, nitric oxide dysregu- lation and renal sympathetic nerve activity in its pathogenesis.

Can UPJ obstruction be intermittent?

As the name implies, there is an obstruction, or blockage, where the ureter meets the pelvis of the kidney. This blockage can affect the function of the kidney, can cause intermittent episodes of abdominal pain, or both.

Where is the ureteropelvic junction located?

The ureteropelvic junction is located where the pelvis of the kidney meets the ureter (the tube that drains urine into the bladder). The term ureteropelvic junction (UPJ) obstruction describes a blockage to this area.

What does it feel like when your kidneys hurt?

Kidney pain is usually a constant dull ache deep in your right or left flank, or both flanks, that often gets worse when someone gently hits the area. Only one kidney is usually affected in most conditions, so you typically feel pain on only one side of your back.

How do they flush your kidneys in the hospital?

Hemodialysis is a procedure where a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood. To get your blood into the dialyzer, the doctor needs to make an access, or entrance, into your blood vessels. This is done with minor surgery, usually to your arm.

What are the signs that something is wrong with your kidneys?

  • You’re more tired, have less energy or are having trouble concentrating. …
  • You’re having trouble sleeping. …
  • You have dry and itchy skin. …
  • You feel the need to urinate more often. …
  • You see blood in your urine. …
  • Your urine is foamy. …
  • You’re experiencing persistent puffiness around your eyes.
Is the surgical repair of the urethra?

Urethroplasty is a surgical procedure to correct narrowing or damage to the urethra from scarring. Urethroplasty for urethral reconstruction provides excellent and durable results.

Why do patients get Nephrostomy tubes?

Why would I need a nephrostomy tube? You may need a nephrostomy tube when something is blocking your normal flow of urine from your kidney to your bladder. If your urine gets blocked, it will stay in your kidney and cause damage to it. A nephrostomy tube is put in to drain the urine directly from your kidney.

What surgery is done for hydronephrosis?

The most common surgical procedure is pyeloplasty. This repairs the most common type of blockage that causes hydronephrosis: ureteropelvic junction obstruction (UPJ). In pyeloplasty, the surgeon will remove the narrowed or obstructed part of the ureter.

What happens when the ureter is removed?

During the surgery: If a large section is removed, tissue is used to repair the ureter. This tissue is taken from another part of the body, such as the bladder. The cut ends of the ureter are then stitched together. These stitches will dissolve over time.

Where do you feel ureter pain?

If your stone is located in one of your ureters (the tubes that carry urine from each kidney into the bladder), you’ll likely feel pain in your back. If the stone is in the left ureter, your pain will be on the left side of your back. If in the right ureter, the pain will be on the right side of your back.

Can a ureter tube be replaced?

Ileal ureter replacement is a technically feasible surgery to be performed in any patient requiring ureteral reconstruction despite a normal contralateral kidney. As such, it is a better alternative than nephrectomy in cases of complex and multiple ureteral strictures.

How long does it take to recover from open pyeloplasty surgery?

The internal healing after open surgery takes 3 – 4 weeks.

How long is recovery from pyeloplasty?

Recovery. Time to complete recovery is typically 3-4 weeks compared with 8 weeks for open pyeloplasty.

How is a stent removed after pyeloplasty?

The stent is removed in the operating room a few weeks after surgery. This is a same day surgery procedure. Another tube, called a drain, may be inserted in the area around the kidney and ureter to drain extra fluid that can collect during and after surgery. Once the drainage stops the drain is removed at the bedside.

What are the symptoms of a blocked ureter?

  • Pain.
  • Changes in the amount of urine produced.
  • Difficulty urinating.
  • Blood in the urine.
  • Repeated urinary tract infections.
  • High blood pressure (hypertension)