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Endopyelotomy

Genitourinary



 



This surgery is done to open up an obstruction in your kidney.  An incision is made to correct a stenosed ureteropelvic junction, cutting from within.  The kidney can either be approached through the percutaneous nephrostomy tube from the outside (Antegrade Endopyelotomy) or through the urine channel and urinary bladder, then up through the ureter (Retrograde Endopyelotomy).

 

Getting Ready for Surgery

 

You will need to do a bowel prep the day before your surgery.  See below for details.

 

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 the amount).

    Clear liquids include

    • Water
    • Broth
    • Juice without pulp (apple, grape, cranberry are ok)
    • Popsicles
    • Clear Jell-O® (must be homemade, not premade; no fruit, etc, in it)
    • Sparkling water or soda
    • Weak coffee or tea, no creamer; sugar or sugar substitute are ok.
    • Gatorade®

 

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

 

_____ At 2:00 pm, drink Magnesium Citrate 10oz. (1 bottle; any flavor).  Drink 1 liter of a sport-type drink with electrolytes (Gatorade®) before midnight.  After this, you should continue to drink clear liquid up until midnight.

 

Shower before bed with antibacterial soap.

 

Do Not Eat or Drink after Midnight.

 

The day of surgery, shower again with antibacterial soap before you come to the hospital.

 

 

After Surgery

 

  • You will be in the hospital for 1 – 2 days.
  • You will go home with a stent in place. The stent will stay in for 6 weeks. You will be on antibiotics while the stent is in.
  • You may continue to have blood in your urine.  This is normal.

 

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 daily.  A diet with fiber and water may help prevent constipation.

 

Activity

 

  • Do not lift more than 10 pounds for 4 weeks.
  • Avoid strenuous activity for 4 weeks.
  • You may drive after 1 week.
  • You may return to work in 2 weeks.

 

Follow-up

 

You will have a follow-up visit 6 weeks after surgery.  Your stent will be removed at this visit.

 

When to Call the Doctor

  • Fever greater than 100.4°F by mouth for 2 readings taken 4 hours apart.
  • Pain not controlled by pain medicine.
  • Nausea and 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.

 

Phone Number

 

Urology Clinic: (608) 263-4757

 

After hours, weekend, and holidays this number connects you to the message center.  Ask for the urology doctor on call for Dr. ________________.  Leave your name and phone number with the area code.  The doctor will call you back.

 

Toll Free: 1-800-323-8942

 



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 03/22/2010

Copyright © 03/22/2010 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. UWH #6984

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