Benign Conditions of the Kidney

Benign conditions affecting the kidney include stone disease, and obstruction to the drainage from the kidney known as pelvi-ureteric junction (PUJ) obstruction. The management of stone disease is addressed elsewhere, whilst PUJ obstruction is best dealt with by pyeloplasty.

Pyeloplasty

An Anderson-Hynes dismembered pyeloplasty is performed when there is a pelvi-ureteric junction (PUJ) obstruction. This has been shown to be the most successful and durable operation for this benign condition that can lead to loss of kidney function through obstruction to drainage from the kidney.

Although minimally invasive endourological techniques have been employed to manage this condition, none have been shown to be as successful or durable as a dismembered pyeloplasty where the obstructing segment is surgically removed. With the development of minimally invasive laparoscopic techniques a laparoscopic dismembered pyeloplasty has become established as the gold-standard treatment.