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Pediatric Robotic Assisted Laparoscopic Pyeloplasty

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Summary

Some children with an UPJO need surgery, called a pyeloplasty, to correct the poorly draining connection of the ureter to the renal pelvis.

In the past, this surgery had always been performed though an incision on the side. With the development of laparoscopic surgery and robotic surgery, this highly effective procedure can now often be performed through smaller incisions, resulting in decreased pain and quicker recovery. In addition, the pediatric urologists at Children’s Health can hide the small incisions necessary for the procedure in the belly button or below the underwear line in some patients.

A robotic pyeloplasty usually involves a one-night hospital stay. One small incision is made in the belly button and two small incisions in the abdomen or below the underwear line to hide those incisions. A small tube, called a ureteral stent, is left in the ureter for a few weeks during healing and is removed in an outpatient procedure or by an extraction string. Your physician will monitor the kidney with renal ultrasounds. 

What to Expect

On the night before surgery, your child’s diet will be limited to clear liquids. On the morning of surgery, your child should not eat or drink anything.

Your child will be given anesthesia so he or she will sleep during the procedure. Only a few small incisions will be necessary to complete the procedure. The procedure will take a few hours and you will be able to be with your child as soon as possible after the procedure. Your child will be discharged one to two days after surgery.

A small tube (stent) or drain will be left in place after surgery to help with drainage. The tube or drain will be removed in the doctor’s office seven to 14 days after the procedure. In some cases, it may be necessary to have a cystoscopy, a short outpatient procedure, to remove the stent. During a cystoscopy, a thin tube is inserted into the urethra in order to grasp and remove the stent.

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