Pediatric PUJ Obstruction (PUJO)

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What is PUJ Obstruction (PUJO)?

PUJO refers to a blockage at the junction where the renal pelvis (part of the kidney that collects urine) meets the ureter (tube carrying urine to the bladder). This blockage leads to urine buildup in the kidney, causing swelling known as hydronephrosis. If left untreated, it may affect kidney function.

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Causes of PUJO in Children

  • Congenital defect in the urinary tract (most common)

  • Crossing blood vessels compressing the junction

  • Scarring or narrowing from infection or previous surgery

Symptoms of PUJO

While some children show no symptoms and are diagnosed during routine antenatal scans, others may experience:

  • Abdominal pain, especially after drinking fluids

  • Nausea or vomiting

  • Urinary tract infections (UTIs)

  • Blood in urine (hematuria)

  • Poor growth or weight gain

  • Lump or mass in the abdomen in severe cases

Diagnosis at Little Light Clinic

We use advanced imaging techniques such as:

  • Ultrasound of the kidneys

  • Diuretic renal scan (DTPA/EC scan) to assess drainage and kidney function

  • MRI Urography or CT Scan when needed

Treatment Options

The gold-standard treatment for PUJO is Pyeloplasty, a surgical procedure that involves:

  • Removal of the obstructed segment

  • Reconnection of the healthy ureter to the renal pelvis

  • Minimally invasive laparoscopic or open approach based on the child’s age and condition

Most children recover fully with restored kidney function and no long-term complications.

Why Choose Little Light Clinic, Ghaziabad?

  • Specialized Pediatric Urology Team

  • Minimally Invasive Surgical Expertise

  • State-of-the-Art Diagnostics

  • Holistic Care from Evaluation to Recovery

  • Trusted Pediatric Facility in Ghaziabad

At Little Light Clinic, Ghaziabad, we are committed to providing safe, effective, and child-focused treatment for PUJ Obstruction, ensuring your little one grows up healthy and free from kidney complications.

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