Caring for Your Child after Pyeloplasty
Your child had surgery to remove a blockage at the ureteropelvic junction (UPJ). This is the
point where the kidney drains into the ureter. This handout will provide some guidelines for care
after surgery. Some children will have a stent or kidney drainage tube in place. This is a small
tube in the ureter or kidney that stays in for a short time. Your doctor will tell you if your child
has a stent or nephrostomy tube.
What to expect
ξ Your child may have some pain, tenderness, and/or swelling at the incision site. Your
doctor will give you a prescription for pain.
ξ Your child will take an antibiotic for about one month.
ξ Your child should have a soft bowel movement at least once a day. Be sure he eats a lot
of fruits and vegetables and drinks plenty of liquids. You can use an over-the-counter
stool softener if you need to.
ξ You may notice some blood in your child’s urine. This is normal. It should go away in
5 – 7 days. If your child has a stent in place, the bleeding may last longer or occur off
and on until the stent is removed. While the stent is in place your child may also feel a
small amount of pain when he starts to empty his bladder. This will go away when the
stent is taken out.
ξ Your child should avoid strenuous activities for two weeks.
ξ Your child should avoid contact sports and those activities that take more movement and
energy such as swimming, swings, tricycles, etc. for 3 weeks.
ξ Please give your child sponge baths for the first few days. Your child may shower 3 days
after surgery and resume bathing or swimming after the drain is removed.
ξ Your child has a small incision with a clear dressing and strips of tape on the wound.
ξ Remove the dressing in two days. If the strips of tape remain on, leave them on until they
fall off themselves.
Call the Doctor if Your Child
ξ Has a fever greater than 101.5 θ F for 2 readings taken 4 hours apart.
ξ Has vomiting that doesn’t go away.
ξ Unable to keep medicines in his stomach.
ξ Has severe pain that doesn’t go away with pain medicine.
If you have any problems, please call your clinic or doctor.
Pediatric Urology Clinic, Monday – Friday, 8:00 am to 4:30 pm, (608) 263-6420
After hours, nights and weekends, the clinic number will be answered by the paging operator.
Ask for the Urology Resident on call. Give the operator your name and phone number with the
area code. The doctor will call you back.
If you live out of the area, call 1-800-323-8942.
The Spanish version of this Health Facts for You is #6237.
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 4/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5966