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Urinary Tract Reconstruction Treatment in Las Vegas

Uretero-Pelvic Junction Obstruction

Uretero-Pelvic Junction obstruction (UPJ) is an anatomic narrowing in drainage system of the kidney.  This narrowing blocks the flow of the kidney at the point where the ureter joins the renal pelvis.  This problem often presents early in life up to early adulthood.  The urine fails to drain from the kidney promptly causing accumulation of urine in the kidney. Urinary Tract Reconstruction Treatment This accumulation called Hydronephrosis is associated with flank pain.  UPJ obstruction can develop in an adult as the result of kidney stone disease, trauma from prior surgery or inflammation or infection of the urinary tract.  UPJ obstruction are amenable to repair via robotic or laparoscopic approach.  Robotic pyeloplasty is performed through small incision allowing minimally invasive repair of the drainage system.  This robotic procedure has the benefit of less pain, shorter hospital stay and faster recovery compared to the open approach.

Ureteral Stricture 

The ureter is the tube that transports urine from the kidney to the bladder.  This tube is a very delicate structure and can easily be injured by passage of kidney stones, passage of surgical instruments, prior radiation or gynecologic surgery.  A Stricture or narrowing of the ureter can impede flow of urine from the kidney into the bladder.  If urine accumulates in the kidney, a condition called Hydronephrosis occurs causing flank pain.   Stricture or narrowing of the ureter can be repaired using a robotic or laparoscopic technique.

Robotic ureteral repair or re-implantation is performed by a surgeon who is skilled in robotic surgery.  Dr Lesani has performed many robotic repair and re-implantation surgeries.  The non-robotic alternative done through a large open incision is associated with significantly more pain, longer hospital stay, and delayed return to regular activity.  Superiority of robotic and laparoscopic surgery for urinary tract reconstruction is undeniable.  That's why robotic surgery has become the standard of care in urology.