What Is Pyeloplasty, and When Is It Needed? - #15820

Pyeloplasty is a surgical procedure used to correct a ureteropelvic junction (UPJ) obstruction, which is a blockage where the kidney meets the ureter. This obstruction can prevent urine from draining properly, leading to hydronephrosis (kidney swelling), pain, infections, or kidney damage. The most common causes include congenital defects (present from birth), kidney stones, scar tissue, or previous surgeries. If left untreated, a UPJ obstruction can gradually impair kidney function. The procedure can be performed through open surgery, laparoscopic surgery, or robotic-assisted surgery. Laparoscopic and robotic pyeloplasty are preferred due to smaller incisions, less pain, and quicker recovery compared to traditional open surgery. The choice of method depends on the severity of the obstruction, patient health, and surgeon expertise. Recovery typically takes 2–6 weeks, with most patients experiencing significant improvement in kidney function after surgery. For a natural approach, Ayurveda suggests herbs like Gokshura (Tribulus terrestris) and Punarnava (Boerhavia diffusa), known for their diuretic and anti-inflammatory properties, which may support kidney function. Barley water and coriander tea are also believed to help flush toxins and reduce swelling. While these remedies can promote kidney health, they cannot reverse a severe UPJ obstruction, making surgery the most effective solution in advanced cases. Many people find combining Ayurvedic practices with medical treatment beneficial for long-term kidney wellness.