If you or a loved one has a urinary obstruction (something that blocks the flow of urine), your doctor may suggest surgery. This type of surgery is called pyeloplasty. Doctors remove the blockage and reattach the healthy part of the kidney to the healthy part of the ureter (tube that carries urine from the kidneys to the bladder).

Surgery can be done using open surgery through one large incision (cut). It can also be done using minimally invasive surgery – through a few small incisions – with traditional laparoscopy or da Vinci Surgery.

Why da Vinci Surgery?

The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:

  • A 3D HD view inside your body
  • Wristed instruments that bend and rotate far greater than the human hand
  • Enhanced vision, precision and control
da Vinci Pyeloplasty offers the following potential benefits compared to traditional open surgery for pediatric patients:
  • Shorter length of stay 1, 2
  • Shorter narcotic utilization 1, 2
  • Minimal scarring
da Vinci Pyeloplasty offers the following potential benefits compared to traditional laparoscopy:
  • Shorter hospital stay 3, 4
da Vinci Pyeloplasty offers the following potential benefits compared to traditional laparoscopy for pediatric patients:
  • Shorter hospital stay 2, 4

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.

Risks & Considerations Related to Pyeloplasty (surgery for a urinary blockage): infection of the kidney, leaking of urine, narrowing of the urethra, bowel injury, kidney stones, narrowing or movement of the stent, blood in the urine, prolonged leaking of urine.

1. D. Bansal, N.G. Cost, W.R. DeFoor Jr, P.P. Reddy, E.A. Minevich, B.A. Vanderbrink, S. Alam, C.A. Sheldon, P.H. Noh; Infant robotic pyeloplasty: Comparison with an open cohort. Journal of Pediatric Urology (2014) 10, 380e385.
2. Cundy T, Harling L, Hughes-Hallett A, Mayer E, Najmaldin A, Athanasiou T, Yang G, Darzi A; Meta-analysis of robotic-assisted vs conventional laparoscopic and open pyeloplasty in children. BJU International, 2014; doi:10.1111/bju.12683
3. Hemal AK, Mukherjee S, Singh K; Laparoscopic pyeloplasty versus robotic pyeloplasty ureteropelvic junction obstruction: a series of 60 cases performed by a single surgeon. Can J Urol. 2010 Feb;17(1):5012-6.
4. Wang F, Xu Y, Zhong H; Robot-assisted versus laparoscopic pyeloplasty for patients with ureteropelvic junction obstruction: An updated systematic review and meta-analysis. Scandinavian Journal of Urology, doi:10.3109/21681805.2013.780184.

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