If a UPJ obstruction is clearly present and is affecting kidney function, surgery is needed to repair it. This operation involves cutting the ureter to remove the blockage, then reattaching it to the renal pelvis. This procedure can be done through an endoscope or with open surgery.
Endoscopic techniques are frequently performed with adults. They are less commonly used with children. They carry a slightly lower success rate than open surgery. However, there are few complications and the person is able to recover more quickly.
There are possible side effects with any surgery. These include bleeding, infection, and allergic reaction to the anesthesia. Stents and tubes placed in the urinary tract following surgery may cause discomfort, and an increased risk for infection. The person may also need to urinate frequently.
Complications of surgical repair of UPJ obstruction can include:
Follow up visits with the surgeon will be necessary if surgery has been performed. Any new or worsening symptoms should be reported to the healthcare provider.