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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Genitourinary

Pyeloplasty (6348)

Pyeloplasty (6348) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Genitourinary

6348



Pyeloplasty

This surgery repairs a blockage where the ureter connects to the kidney. This area is known as
the UPJ or ur-e-ter-o-pel-vic junction. After the blockage is removed and the ureter is repaired, a
small tube called a stent is left in place to aid healing. This surgery can be done by laparoscope
or through a larger incision.

Getting Ready for Surgery

 You will need to clean stool from your bowel before surgery. We will talk with you
about this prep and give you written details while you are in clinic.

The Day before Surgery

 Eat a light breakfast and lunch, avoid greasy foods and red meat.
 Drink only clear liquids after lunch up to midnight (no limit on amount).

o Water
o Broth
o Juice without pulp (apple, cranberry, grape
are okay)
o Popsicles
o Hard candy, no chocolate
o Clear Jell-O , homemade, not
premade,(no fruit, etc. in it)
o Sparkling water or soda
o Weak coffee or tea, no creamer
o Gatorade or other sport-type drink
o Boost Breeze®/Resource®

After lunch, do not eat solid food, or drink juice with pulp, dairy products or alcohol.

_____ At 2:00 pm drink magnesium citrate 10 oz. (1 entire bottle; any flavor). Drink 1 liter of
a sport-type drink, for the electrolytes, before midnight (Gatorade®). After this, you may drink
as much clear liquid as you wish until midnight.

Shower before bed with antibacterial soap.

Do Not Eat or Drink after Midnight.

The day of surgery shower with the antibacterial soap before you leave for the hospital.

After Surgery

 You will be in the hospital for 2-3 days.
 You will go home with the stent in place. This is the same type of stent you had before
surgery. The stent will stay in for 6 weeks. You will be on antibiotics during this time.
 You may continue to have blood in your urine. This is normal.


Incision Care

1. You may shower once you are home. Do not soak in a hot tub, bathtub, or swim until it is
healed. This may be at least 2 weeks.

2. Wear a Band-Aid if your incision is draining, rubbing on your clothes, or is in a skin fold.
Change the Band-Aid at least once each day. Change it more often if it gets wet. Do not
use lotion, powder, or ointment on your incision.

3. Look at your incision daily. If you notice signs of infection call your doctor.

 Increasing redness or warmth
 Pus-like drainage or blood
 Increased swelling
 Temperature by mouth above 100.4 θF for 2 readings, taken 4 hours apart

Pain

 You may have pain for 1-3 weeks. Pain pills will be ordered for you.

Diet

 You will go home on a regular diet. It is important to drink plenty of fluids, 8-10 (8 oz.)
glasses a day. A diet with enough fiber and water may prevent constipation.

Activity

 Do not lift more than 10 pounds for 4 weeks.
 Avoid strenuous activity until okayed by your doctor.
 You may drive after 2 weeks.
 Talk to your urology doctor before going back to work.

Follow-up

 You will have a follow-up visit in about 6 weeks. Your stent will be taken out at this
visit.

When to Call the Doctor

 Temperature greater than 100.4○ F by mouth for 2 readings taken 4 hours apart
 Pain not controlled by pain pills
 Nausea or vomiting that does not go away
 Low amount of urine or trouble passing urine
 Severe burning with urination
 Bloody urine that you cannot see through or large blood clots

 Redness or warmth at your incision that is getting worse
 Pus or excess blood from the incision(s)
 If you have not had a bowel movement 3-4 days after surgery

Phone Numbers

UW Health Urology 608-263-4757
UW Health at The American Center Urology 608-440-6464
UW Health One South Park Urology 608-287-2900

After Hours, Nights, Weekends, and Holidays, the clinic number is answered by the paging
operator. Ask for the Urology Doctor on call. Leave your name and phone number with the area
code. The doctor will call you back.

Toll Free: 1-844-607-4800

Your urology doctor is _________________


























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 © 7/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6348