Reconstructive surgery
We perform advanced robotic reconstructive surgeries of the kidney, ureter, and bladder that have revolutionized the recovery of patients.
What is Reconstructive Surgery?
Some patients have congenital or acquired benign conditions that cause blockage of the ureter, and swelling of the kidney. When this occurs, patients can have pain in their flank or back, kidney stones, recurrent infections of the kidney, or diminished kidney function. These symptoms can sometimes be more intense after large fluid volume intake. The location of this blockage can occur anywhere in the ureter, the tube that connects the kidney to the bladder. One of the most common locations of the blockage is at the connection between the renal pelvis and the ureter, called the ureteropelvic junction or UPJ, or further distally near the junction of the bladder.
There can be many causes of these blockages including:
- external compression from a mass, scar, or crossing blood vessel
- internal blockage from scarring (from prior stones, surgeries, infection, radiation), or injury from another surgery.
The workup for the blockage of the kidney usually starts with a CT scan with delayed images of the ureter that evaluate the drainage. This is oftentimes the best test to evaluate the anatomy of the stricture as well as surrounding structures that could be causing the blockage. Sometimes, this may be followed up with a retrograde pyelogram (shooting dye up into the kidney from the bladder) to better define the location and length of the narrowing. Lastly, a nuclear renal scan will be obtained to quantify the degree of obstruction and to assess the function of the affected kidney. Once the narrowing has been fully assessed, the treatment can be determined. Some narrowings can be treated through an endoscopic approach, although most require robotic surgical repair.
Robotic surgery has revolutionized the way we perform reconstructive surgeries for urologic conditions in pediatric and adult patients. Whether the problem is at the level of the kidney, or down at the bladder, the robotic platform allows the surgeon to correct these problems through with excellent success rates. Because the surgery is reconstructive without the need to extract any large pieces of tissue, the robotic surgery can be performed through small incisions, which translates into less pain, better aesthetics, faster recovery, and with minimal side effects and quick recovery for patients. The outcomes are excellent and approach 95% in success rates.
Dr. Yu has significant experience and expertise in robotic surgery to reconstruct the urinary tract including robotic assisted pyeloplasty, or robotic assisted ureteral reimplants. Outcomes are the best in surgeons with extensive experience, and Dr. Yu has an excellent reputation for delivering excellent results with rare complications, while also being a strong communicator with an extraordinary bedside manner. Please schedule an appointment to have a detailed discussion regarding your case, and Dr. Yu will work with you to craft a treatment plan for your cancer that best fits you.
At your visit, Dr. Yu will discuss with you the possibility of reconstructive surgery.
At your visit, Dr. Yu will discuss with you the preferred options.
I had already been through a hysterectomy that gave me the injuries which sent me into septic shock. I came to Dr.Yu with not only a damaged ureter but also damaged trust. They welcomed my baby, my husband and I with warm arms. In addition to the overall superb care, Dr.Yu and his team respond quickly to messages on their patient portal. Thanks to Dr.Yu and his very capable team, I am no longer incontinent and am on my way to recovering.
– Jenna G.
I have been seeing Dr. Yu for several years now. He is absolutely one of the best doctors I’ve ever had. Very patient, explains everything in detail, outlines all the options, and is very understanding of my needs. I would recommend him without reservation.
– Joel L.
I came to Dr. Yu’s office with my ureter punctured in two places from a previous surgery. It was a time of great grief, dispute and failed faith in the medical system. Then, I met Dr. Yu, a beautiful, brilliant, Urologist who repaired me! I am so grateful to not only Dr Yu, but also the entire team and Northbay Urology. You all have been god sent to me and my family! We thank you and love you with all of our hearts.
– Iesha G.
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