Pelviureteric Junction Obstruction (PUJO), a condition affecting the drainage system between the kidney and ureter, can lead to serious health complications if left untreated. Recognizing the critical need for early diagnosis and expert care, top pediatric and urological centers now offer advanced, minimally invasive Pelvi Ureteric Junction Obstruction Treatment in Delhi, ensuring timely intervention and preservation of kidney function in children.

PUJO occurs when the junction between the renal pelvis (part of the kidney that collects urine) and the ureter (tube that drains urine to the bladder) becomes blocked or narrowed. This obstruction causes urine to accumulate in the kidney, resulting in swelling – a condition known as hydronephrosis. Over time, this backpressure can severely damage the kidney, even leading to complete loss of function.

Congenital PUJO: A Common Yet Silent Condition

Pelviureteric Junction Obstruction is often congenital, affecting approximately 1 in every 1500 new borns. It is one of the most frequent causes of prenatal hydronephrosis, often detected during routine prenatal ultrasounds. While some infants and children may remain asymptomatic, others may experience:

Flank or abdominal pain

Recurrent urinary tract infections (UTIs)

Intermittent pain that comes and goes

Nausea or vomiting (in some cases)

In many cases, PUJO is discovered incidentally when a prenatal or postnatal ultrasound reveals kidney swelling.

Accurate Diagnosis with DTPA Scan:

The gold standard for confirming PUJO is a DTPA renal scan, which assesses both the function of the kidneys and the degree of urinary obstruction. This nuclear medicine scan provides vital information on how well each kidney is working and whether surgical intervention is needed.

Early diagnosis is essential, as untreated PUJO can gradually impair kidney function, sometimes irreversibly.

Treatment Options for PUJO: From Monitoring to Surgery-

The approach to Pelvi Ureteric Junction Obstruction Treatment in Delhi depends on the severity of the blockage and its effect on kidney function:

Mild or Stable Obstruction: Children with mild PUJO may only require regular monitoring with ultrasound. In many cases, the condition improves or stabilizes without surgical intervention.

Severe or Progressive Obstruction: If the obstruction is worsening or significantly impairs kidney function, surgery is necessary to prevent long-term damage. The surgical solution is pyeloplasty, a highly effective procedure that removes the blocked segment and reconnects the healthy portions of the urinary tract.

What is Pyeloplasty?

Pyeloplasty is the standard treatment for PUJO and boasts excellent long-term success rates. It can be performed using two approaches:

Open Pyeloplasty: Traditional surgery involving a small incision to access the kidney and ureter.

Laparoscopic (Keyhole) Pyeloplasty: A minimally invasive technique involving small incisions, a camera, and specialized instruments. This method reduces recovery time, post-operative pain, and scarring.

Delhi’s leading pediatric urology specialists offer both options, with a strong preference for laparoscopic pyeloplasty due to its advantages in pediatric care.

Post-Surgical Recovery and Follow-Up:

Following pyeloplasty, children typically stay in the hospital for 1 to 2 days. A temporary stent is placed in the ureter to keep it open while healing takes place. This stent is usually removed 4 to 6 weeks later in a simple daycare procedure using a scope passed through the urethra.

Most children recover quickly and return to normal activities within days. Regular follow-up with ultrasounds ensures the kidney is draining properly and recovering well.

Why Choose Delhi for PUJO Treatment?

Delhi has become a hub for Pelvi Ureteric Junction Obstruction Treatment, with access to advanced pediatric urology services, expert surgeons, and modern diagnostic technology. Families benefit from:

Highly skilled pediatric urologists and nephrologists

Minimally invasive surgical options

Comprehensive pre- and post-operative care

Child-friendly hospital environments and support teams

For parents seeking trusted, compassionate, and expert care, Pelvi Ureteric Junction Obstruction Treatment in Delhi offers a path toward lasting kidney health and a better quality of life for their children. Please visit: https://www.pedsurgerydelhi.com/diseases/pelvi-ureteric-junction-obstruction-treatment-in-delhi-pelviureteric-junction-obstruction-puj-pyeloplasty-pocedure-delhi/