Lap Pyeloplasty

Our Approach

 

  • Retrograde pyelogram just before surgery
  • Pigtail ureteric catheterization with a guidewire
  • Standard port placement ( TP ) ( 3-4 ports )
    Pediatrics patients: 3 & 5 mm ports
  • UPJ anatomy to dictate the type of plasty required
  • Trans-mesocolic approach for large pelvis
  • Pyelotomy done but pelvis not detached from the ureter
  • Posterior anastomosis first