PUJ obstruction is a congenital condition that is present at birth. Although it is not very common (occurring in 1 in 1500 births), it needs urgent treatment when it occurs. Pelvic ureteric junction (PUJ) obstruction blocks the flow of urine from the kidneys to the bladder. Ureteropelvic joint obstruction is when part of the kidney is blocked. Serious obstruction can lead to a deterioration of the kidney and its function. The blockage slows down the circulation of urine out of the kidney. Urine can then build up and harm the kidney. Often surgical treatment is required to boost the circulation of urine. You can book an appointment with Dr Atul Jain here for the best treatment of PUJ obstruction in Delhi. 

Why PUJ obstruction takes place?

• Pelviureteric junction (PUJ) obstruction is the narrowing in the upper part of the ureter which drains urine from the kidney. This creates an accumulation of urine that can damage the kidney if not treated well in time. 

• Though it occurs much less often in adults, PUJ blockage may happen after kidney stones, surgical treatment, or upper urinary system swelling.

How a PUJ obstruction is detected or diagnosed?

• Ultrasound is the major diagnostic tool to check a PUJ blockage. The ultrasound normally reveals a swelling or dilatation of the kidney etc. The blockage takes place as the kidney is forming. In most cases, PUJ obstruction is discovered in the fetal ultrasound of a pregnant mother. 

• To confirm the medical diagnosis, MRI, CT checks, or MAG-3 Renogram can be executed as well.

• Blood Tests including kidney function tests are performed to check the kidney performance and function.

• Urine Analysis 

• IVP Test – An intravenous pyelogram is performed to detect the normal flow of urine with the help of a dye. 

What are the signs and symptoms of PUJ blockage?

• Feeling of an Abdominal mass

• urinary system infection with high-temperature

• flank discomfort (pain in the top abdomen or back, mostly with liquid intake)

• kidney stones

• Blood in urine

• Nausea, vomiting, stunted growth, etc. 

PUJ Blockage Treatment in Delhi 

In many cases, the blockage can fix by itself and this will certainly be clear on the ultrasound scans. Surgery is typically advised when the kidney function starts to deteriorate and the condition has no signs of improving by itself. 

PUJ obstruction is treated using a treatment called pyeloplasty. The best PUJ obstruction treatment is performed via minimally invasive laparoscopy. A small incision is made on the lower abdomen and narrowing is fixed. A small plastic tube that is a ureteral stent is placed inside the ureter at the end of the procedure. It helps to drain the kidney effectively and prevent the obstruction from setting up again. This stent will remain in place for four weeks and will be removed after that by Dr Atul Jain. 

You can book a Clinic Appointment with Dr Atul Jain for the best PUJ obstruction treatment in Delhi. 

You can book an online appointment here.