PUJO (Pyeloplasty)

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What is PUJO?

Pelvi-Ureteric Junction Obstruction (PUJO) occurs when there is a blockage or narrowing at the junction where the kidney connects to the ureter (the tube that drains urine to the bladder). This can cause urine to back up into the kidney, leading to hydronephrosis (swelling of the kidney), pain, and possible loss of kidney function.

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Causes of PUJO

  • Congenital (present at birth) – most common

  • Crossing blood vessels compressing the ureter

  • Scar tissue or previous surgery

  • Infection or kidney stones

Symptoms of PUJO

In infants and children:

  • Detected on prenatal ultrasound (hydronephrosis)

  • Abdominal mass or swelling

  • Recurrent urinary tract infections

  • Poor growth or feeding difficulties

In older children or adults:

  • Flank or abdominal pain (especially after drinking fluids)

  • Blood in urine (hematuria)

  • Repeated kidney infections

  • Nausea and vomiting

Diagnosis in Ghaziabad

  • Ultrasound of kidneys and bladder

  • Diuretic Renogram (DTPA/MAG3 scan) – to assess drainage and function

  • Intravenous Pyelogram (IVP)

  • CT Urography (in selected cases)

Treatment: Pyeloplasty Surgery

The gold standard treatment is pyeloplasty, where the obstructed segment is removed and the ureter is reconnected to the kidney.

We offer:

  • Open Pyeloplasty – for complex or re-operative cases

  • Laparoscopic Pyeloplasty – minimally invasive, quicker recovery

  • Robotic Pyeloplasty (available in select cases)

Most children and adults recover well with improved kidney drainage and symptom relief.

Why Choose Us?

  • Expert pediatric and adult urologists

  • Advanced laparoscopic and surgical technology

  • Personalized pre- and post-operative care

  • Trusted kidney care services in Ghaziabad