Service List 5
Pelvi-Ureteric Junction obstruction repair
Laparoscopic / Open PUJ repair
A congenital or acquired narrowing in the ureteric pelvis junction UPJ. This narrowing is excised with a reconnection to the normal parts of the anatomy. There are several techniques described of which I mostly perform a dismembered pyeloplasty.
Read MoreLaser Endo-pyelotomy
An endoscopic technique of incising a short stricture with a laser. A stent remains 6 weeks post operatively.
Read MoreUreteric Injury
Infrequently ureteric injuries can occur with other abdominal surgery ie. Hysterectomy, Ovarian mass resection, Bowel resections, Sacro Colpo-pexy. If the injury is below the pelvic brim then a re-implation is recommended with a Boari flap, otherwise a primary end-to-end anastomosis. A ureteric stent is left for 6 weeks.
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