Advanced Urological Care at UPNT

At UPNT, we specialize in The Robotic Pyeloplasty, a minimally invasive procedure designed to address a blockage at the ureteropelvic junction (UPJ), where the kidney connects to the ureter. Symptoms of a UPJ obstruction can include flank pain, nausea, urinary tract infections, and abdominal discomfort. Often, these obstructions are identified through imaging studies like CT scans, which reveal blockages and potential kidney swelling (hydronephrosis).

Understanding The Robotic Pyeloplasty

The Robotic pyeloplasty is performed to correct UPJ obstructions, which can impede urine flow from the kidney and lead to pain, infection, or kidney damage. During the procedure, the surgeon excises the scar tissue causing the blockage and reconstructs the area to allow better drainage from the kidney. This involves making several small incisions instead of a large one, resulting in less scarring and blood loss. After surgery, a ureteral stent is placed to help keep the ureter open while it heals. This stent is typically removed within 2-4 weeks post-procedure.

Your Journey: From Diagnosis to Treatment

If you’ve been diagnosed with a UPJ obstruction, UPNT is here to guide you through every step of the process.

Initial Consultation

Review of medical history and symptoms
Detailed examination of imaging studies (CT scans or MRIs)
A renal scan may be conducted to determine if the kidney is obstructed and to evaluate the function of the other kidney
Discussion of your condition and potential treatment options

Determining Who is a Candidate for The Robotic Pyeloplasty

Factors considered include:

Medical Clearance

Before surgery, ensuring optimal health is crucial:

Pre-Operative Preparation

Once scheduled for surgery:

The Day of Surgery

On the day of your robotic pyeloplasty:
Admission to USMD Hospital Arlington (most surgeries are performed here)
The procedure typically takes 2–3 hours
Family will be informed of your progress during surgery

Post-Operative Care and Recovery

After your surgery

Follow-Up Care

Your care continues after leaving the hospital with follow-up appointments to:

Monitor recovery progress

Assess kidney function

Discuss any necessary future care

Understanding the da Vinci Surgical System

The Robotic Pyeloplasty

The da Vinci Surgical System is a revolutionary tool that enhances surgeons’ precision and control during procedures like Robotic Pyeloplasty. This advanced technology allows for minimally invasive surgery, meaning smaller incisions, less pain, and quicker patient recovery.

How the da Vinci System Works

The da Vinci System consists of three main components
Surgeon Console
Patient-side Cart
Vision System
Accessing the Kidney
Small incisions are made to insert the robotic instruments. These provide access to the kidney while minimizing trauma.
Reconstructing and Stitching
After removing the blockage, the ureter is reattached to ensure proper drainage. This involves precise stitching using robotic instruments.
Precision and Control
The surgeon uses hand controls at the console to manipulate robotic arms with precise micro-movements.
Minimized Trauma
Smaller incisions mean less trauma, reduced blood loss, and lower infection risk.
Identifying and Removing Obstruction
The surgeon locates the obstruction at the UPJ( the part of the kidney that drains directly into the ureter). Scar tissue causing the blockage is carefully excised.
Ureteral Stent Placement
A stent is placed in the ureter to keep it open during healing. It is usually removed 2–4 weeks after surgery.
Enhanced Dexterity
The robotic instruments have a greater range of motion than human hands.
Safety Features
The system includes built-in safety checks to ensure every movement is controlled by the surgeon, preventing the robot from taking autonomous actions.

Benefits of Patients

Patients undergoing The Robotic Pyeloplasty with the da Vinci System at UPNT can expect:

1

Reduced Pain

Smaller incisions lead to less postoperative discomfort.

2

Faster Recovery

Many patients experience shorter hospital stays and quicker return to normal activities.

3

Lower Risk of Infection

Minimally invasive techniques reduce exposure and potential complications.

Why Choose UPNT?

At UPNT, our skilled surgeons are highly trained in using the da Vinci Surgical System, ensuring you receive top-quality care with cutting-edge technology. Our surgeons have extensive experience performing thousands of robotic surgeries since 2004, demonstrating exceptional expertise in this field.

USMD Hospital Arlington Experience

Our partnership with USMD Hospital Arlington enhances our ability to provide top-notch care. USMD Hospital offers state-of-the-art facilities with advanced robotic technology, with over 16,900 robot-assisted surgeries performed since 2003. This collaboration ensures patients receive high-quality treatment in a comfortable setting, benefiting from technical expertise and compassionate care throughout their surgical journey.

Take the Next Step

If you’ve been diagnosed with a UPJ obstruction or another condition requiring a pyeloplasty, contact UPNT today to schedule your initial consultation. Our compassionate team is ready to provide high-quality care using advanced robotic surgery techniques. Trust UPNT for effective and advanced care in robotic urological surgery. Your health is our priority.
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