Advanced Keyhole Surgery for PUJ Obstruction
Laparoscopic pyeloplasty is a minimally invasive (keyhole) surgical procedure performed to treat Pelvi‑Ureteric Junction (PUJ) obstruction, a condition where urine flow from the kidney to the ureter is blocked. If left untreated, PUJ obstruction can lead to kidney swelling, recurrent infections, pain, and gradual loss of kidney function.
We offer advanced laparoscopic pyeloplasty in Delhi and Bahadurgarh, using modern techniques to provide durable relief, preserve kidney function, and ensure faster recovery.
What is PUJ Obstruction?
PUJ obstruction occurs when there is a narrowing or blockage at the junction where the kidney pelvis meets the ureter. It may be congenital (present from birth) or develop later due to scarring, stones, or previous infections.
Laparoscopic pyeloplasty is a reconstructive kidney surgery where the narrowed PUJ segment is removed and the healthy ureter is re‑attached to the kidney pelvis using small incisions and a camera‑guided approach.

This technique provides outcomes comparable to open surgery but with significantly less pain and quicker recovery.
Indications for Laparoscopic Pyeloplasty
Laparoscopic pyeloplasty is recommended for patients with:
- PUJ obstruction with hydronephrosis
- Recurrent flank pain
- Recurrent urinary tract infections
- Deteriorating kidney function
- Obstructive pattern on renal scan (DTPA / MAG3)
- Failed endoscopic procedures
Preoperative Evaluation
A detailed evaluation is performed before surgery:
- Ultrasound KUB
- CT urogram or IVP
- Nuclear renal scan (DTPA / MAG3)
- Blood and urine tests
- Anesthesia fitness assessment
Benefits of Laparoscopic Pyeloplasty
- Minimally invasive keyhole surgery
- High long‑term success rates (>90%)
- Less postoperative pain
- Minimal blood loss
- Smaller scars
- Short hospital stay
- Faster return to daily activities
Recovery After Laparoscopic Pyeloplasty
- Hospital stay: 2–4 days
- Early mobilization within 24 hours
- Internal stent removed after 4–6 weeks
- Return to routine activities in 2–3 weeks
- Regular follow‑up to monitor kidney function
Why Choose Us for Laparoscopic Pyeloplasty in Delhi and Bahadurgarh?
- Experienced urologist with expertise in advanced laparoscopic surgery
- High success rates in PUJ reconstruction
- Modern operation theatre and imaging facilities
- Evidence‑based and guideline‑driven care
- Detailed patient counselling and transparent treatment
- Dedicated postoperative follow‑up
Frequently Asked Questions (FAQs)
Is laparoscopic pyeloplasty safe?
Yes. It is a safe and well‑established procedure with excellent long‑term results when performed by an experienced urologist.
Can PUJ obstruction recur after surgery?
Recurrence is uncommon. Success rates exceed 90% with proper technique and follow‑up.
Is open surgery required?
Open surgery is rarely required today and is reserved for very complex or redo cases.
Book an Appointment for Laparoscopic Pyeloplasty in Delhi and Bahadurgarh
If you or your child has been diagnosed with PUJ obstruction or kidney swelling, consult an experienced urologist for advanced laparoscopic pyeloplasty and kidney‑saving treatment.