Pelviureteric Junction Obstruction (PUJO) is a blockage or severe narrowing at the point where the kidney pelvis connects to the ureter. This impairs urine flow from the kidney to the bladder, causing urine to pool and swell the kidney (hydronephrosis).
PUJO is a congenital condition caused by:
Symptoms can present at birth or develop later in childhood:
Pelvic Ureteric Junction Obstruction (PUJO) restricts urine flow from the kidney to the bladder. If the obstruction is severe, the back-pressure can cause significant kidney damage, resulting in loss of renal function. Early diagnosis through prenatal and postnatal screening allows us to intervene before irreversible damage occurs, preserving the kidney and preventing recurrent infections and pain.
We utilize a conservative, watchful waiting approach for mild cases, supported by advanced nuclear scans. When surgery is indicated, Dr. Chowdharyâs expertise in minimally invasive techniques ensures a highly successful pyeloplasty with a very short hospital stay. Our post-operative protocol involves careful monitoring to confirm unobstructed drainage and normal kidney growth.
Careful monitoring of mild PUJO cases with sequential ultrasounds and diuretic renograms.
The gold standard minimally invasive surgery to remove the obstruction and reconnect the ureter.
Advanced robotic-assisted surgery offering 3D vision and enhanced precision for delicate repairs.
A MAG3 or DTPA renal scan is mandatory to confirm the severity of the blockage and assess the split kidney function.
The standard of care where the obstructed junction is excised and a wide new connection is made over an internal stent.
An internal 'JJ stent' remains for 4-6 weeks to ensure smooth healing. It is removed via a simple 5-minute procedure.
"The best pediatric surgeon we could hope for. He operated on our son for PUJO safely with keyhole surgery, and the recovery was so fast."
"Dr. Chowdhary's precision in Laparoscopic Pyeloplasty is incredible. Our baby was home in 2 days and is now doing great. Highly recommend his team!"
"Clear communication and excellent surgical outcome. We were explained the MAG3 scan results so clearly. Thank you, Dr. Sujit."
"Finding a doctor who truly understands the complexity of PUJO was a relief. Our baby's recovery was much faster than we expected."
"We traveled from another city just for Dr. Chowdhary. His reputation is well-deserved; his approach is very scientific and methodical yet very caring."
"The nursing staff and Dr. Sujit are a fantastic team. They handled our infant's surgery with so much care and warmth. Highly recommended for any parent."
Repairing a PUJO requires exceptional suturing skills, especially in infants where the ureter is as thin as a noodle.
It is a narrowing at the junction where the renal pelvis connects to the ureter, blocking urine flow out of the kidney.
Untreated severe PUJO can cause progressive loss of kidney function, chronic kidney pain, and kidney stone formation.
It is the surgical correction of PUJO, where the narrowed junction is excised and the wide ureter is reconnected to the kidney.
Yes, laparoscopic pyeloplasty is highly successful, offering minimal scarring and a shorter hospital stay.
A temporary double-J stent is placed inside the ureter to keep it open and protect the repair during early healing.
The stent is removed 4 to 6 weeks later via a simple, quick cystoscopy procedure under light sedation.
The success rate of pyeloplasty is extremely high, exceeding 95% in restoring normal drainage and preserving kidney function.
Laparoscopic pyeloplasty is highly successful in relieving PUJ obstruction. Schedule a consultation today.
D6, Club, 2, opposite Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057
+91 98732 06761
