PeIvi Ureteric Junction Obstruction (PUJO)

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About Dr.Sujit

Dr. Sujit Chowdhary is a leading Pediatric Urologist in Delhi-NCR. He currently serves as the Senior Consultant for Pediatric Urology and Pediatric Neurosurgery at the prestigious Indraprastha Apollo Hospital, Delhi since 2005. Dr. Sujit has professional experience of over 25 years in the field of Pediatric Urology with absolutely zero complaints.

Pelvi ureteric junction obstruction

What is pelvic ureteric junction obstruction ?

A Pelvic ureteric Junction is a tube between the renal pelvis and ureter. In Pelvic ureteric junction obstruction or PUJO , Our kidneys make urine faster than the drainage capacity. And some of it always remains in the renal pelvis and ureter swelling our kidneys due to excess causing the blockage of UPJ tube. It blocks only one kidney and that too partial.

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What is the cause of PUJO ?

  • A prenatal birth defect with an abnormal muscle development around the PUJ.
  • Blood vessel in the wrong position over the ureter.
  • It is genetic in nature only if UPJ obstruction is due to hydronephrosis.

What are the signs of PUJO ?

  • Urinary tract infection with Fever.
  • Formation of the lump in the abdomen.
  • Poor growth in kids.
  • Tendency of vomiting.
  • Bloody urine.
  • Kidney infection like Hydronephrosis.
Pelvi ureteric junction obstruction

What are the signs of PUJO ?

  • It is a congenital variant of kidney ailment.
  • More males are affected in comparison to females.
  • Mostly it only causes damage to our left kidney.
  • It only happens in every 1500 births hence it's rare.

If your child has swelling in the kidney then approach the best pediatric urologist in town.

Treatment for PUJO.

Pelvi ureteric junction obstruction

We give the optimum line of treatment for PUJO due to the expertise of our Doctor. At our clinic, we adopt the three pronged approach to heal PUJO. This is the best approach to heal PUJO without any side effects.

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Surgical cure .

If there is no improvement in the condition of pelvic ureteric junction obstruction than we recommend the surgery. These are some vital steps adopted by us before the surgery:

  • Diagnostic test- We detect the presence of an enlarged kidney through the prenatal ultrasound. And if the problem persists we do repeated ultrasounds to check on the conditions of the kidney..
  • Bun Test- In Bun test, we perform the blood urea nitrogen test. This determines the working condition of the kidney and its blood blood filtration capability.
  • Nuclear renal scan- This test is performed after the baby’s birth. We use radioactive material to perform the test. This is visible on camera as coloured area and shows the condition of the kidney.
  • Pyeloplasty- For infants we do the pyeloplasty surgery. Here UPJ is removed and reattached with renal pelvis. The new opening is wider for the proper drainage of urine.
  • Laparoscopic pyeloplasty- At our clinic robots perform the surgery under the guidance of Dr.Sujit Chowdhary. The Laparoscopic pyeloplasty is a minimal invasive surgery which removes the obstruction between the renal pelvis and ureter. We specialise in this surgery and do it for older kids. A small section of abdominal wall is cut and a tube having camera on one end and scope on other is inserted in UPJ.

FAQ

1. What is the cost of Pyeloplasty in Delhi?
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2. Is surgery the only option?
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3. What is PUJ constraint?
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4. Is PUJ barrier-free?
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5. What causes pyeloplasty?
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6. What does pyeloplasty mean?
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