Ureteropelvic junction (UPJ) obstruction refers to a narrowing at the point where the ureter, which carries urine from the kidney to the bladder, exits the kidney. This condition can prevent urine from draining adequately from the kidney and may lead to a gradual deterioration of kidney function over time.
UPJ obstruction may be congenital or may develop later due to acquired causes. While some individuals may remain asymptomatic for a long period, the condition can eventually lead to flank pain, recurrent urinary tract infections, or loss of kidney function.
Diagnostic and Evaluation Process
The diagnosis of UPJ obstruction is based on a combined evaluation of the patient’s clinical symptoms, imaging studies, and kidney function tests. Ultrasonography, computed tomography, and nuclear medicine studies are used to analyze the severity of the obstruction and its effects on the kidney in detail.
Based on the findings, the need for surgical intervention and the most appropriate treatment method are planned individually for each patient.
Laparoscopic Surgical Approach
In the treatment of UPJ obstruction, laparoscopic surgery is preferred as a minimally invasive and effective method. Through small surgical incisions, specialized cameras and surgical instruments are used to repair the narrowed segment and restore normal urine flow.
Compared to open surgery, laparoscopic procedures offer advantages such as reduced tissue trauma, lower postoperative pain, and a faster recovery process. The goal is to achieve safe and successful outcomes in appropriately selected patients.
Post-Treatment Follow-Up
After surgery, patients are enrolled in a regular follow-up program. Follow-up examinations and necessary imaging studies are performed to ensure preservation of kidney function and continued healthy urine drainage.
The main objectives of the treatment process are to protect kidney function, relieve symptoms, and enable the patient to safely return to daily life.
