Surgery Urology


Medical Program for Laparoscopic Pyeloplasty Surgery.

The treatment of pyeloureteral junction syndrome has evolved considerably through the laparoscopic route that has experienced a boom in this indication.
The stenosis of the pyeloureteral junction is a normally congenital pathology that consists of a stricture or narrowing of the ureter (a tube that goes from the kidney to the bladder) that prevents a correct emptying of the urine.
Laparoscopic pyeloplasty presents high rates of effectiveness and offers the advantages of a better postoperative and shorter hospital stays
The obstruction of the ureteropelvic junction in the adult is usually asymptomatic, secondary and evolutive. To preserve the function of the affected kidney, it is often necessary to perform a surgical correction. Laparoscopic pyeloplasty has been shown to be effective for the surgical treatment of obstruction of the ureteropelvic junction in adults, and offers high rates of long-term success. Laparoscopic pyeloplasty reproduces the technique of open surgery, and has evolved in order to equalize the success, morbidity and complications rates of open surgical pyeloplasty. However, it has been shown that convalescence after laparoscopy is shorter than in the case of open surgery.
Laparoscopic pyeloplasty is a safe and effective procedure for managing the narrowness of the pyeloureteral junction and has a low frequency of complications.
Medical Program
Hospitalization (3 days)
Hospitalization in a private room (nursing care and meals included)
Attention of the attending physician for hospitalized patient. (medical round visit)
Initial evaluation and preparation of clinical history
 Other medical checkups by specialists
Re-checkup by  specialist.
Basic preoperative investigations.
 Minimum coagulogram
Complete Hemogram
Blood group ABO and RH
Serology (VDRL)
Test of antibodies against HIV-1/2.
Simple chest x-ray
Culture with antibiogram (urine culture)
Imaging Investigations
Renal and adrenal CT (inc. Bladder) contrast E.V.
Upper abdomen diagnostic ultrasound.
 Surgery. General anesthesia
Laparoscopic Pyeloplasty
 Medical report conclusions and recommendations
Note: Accommodation of the patient's companion: 40.00 CUC per day with meals included.
Medications, disposable material, blood, derivatives or their substitutes and artificial support materials are excluded.
The medical programs are designed to perform the preoperative study on an outpatient basis. If the patient prefers to be hospitalized, the preoperative stay increases in two or three days depending on the scheduled surgery
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