PUJO Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
PUJO (pelviureteric junction obstruction) is a treatable cause of kidney dilation
and impaired renal drainage. At Swastik Urology Clinic in Gomti
Nagar Extension, Lucknow, we provide careful diagnosis, emergency drainage when
required, and definitive correction — including minimally invasive pyeloplasty —
under the care of Dr. Aditya Sengar (Urologist). Our approach
emphasises preservation of kidney function and fast recovery.
What causes PUJO?
PUJO may be congenital (the most common cause in children) or acquired. Common
causes include an intrinsic narrowing of the junction, crossing blood vessels
compressing the ureter (vascular PUJO), previous surgeries or inflammation
causing scarring, stones, or tumours. Early evaluation helps decide the best
treatment to protect kidney function.
Typical Symptoms & Signs
In children, PUJO may present with an abdominal mass, recurrent urinary
infections, or poor growth. In older children and adults, symptoms
include flank pain (colicky or dull), recurrent urinary tract
infections, hematuria or incidentally detected hydronephrosis on
imaging.
Diagnostic Tests We Use
Ultrasound is the first-line test to detect hydronephrosis. Functional
assessment is done with nuclear renography (DTPA or MAG3) to quantify
drainage and split renal function. CT urography or MR urography help
evaluate anatomy and crossing vessels when necessary.
When is Emergency Drainage Needed?
If there is infected hydronephrosis (fever, sepsis) or if obstruction is
causing rapidly worsening kidney function, temporary drainage with a
percutaneous nephrostomy or internal stent is performed urgently prior
to definitive repair.
Assessment for Surgery
Decision for surgery is based on symptoms, degree of obstruction, and
relative kidney function on renogram. Even asymptomatic but poorly
draining kidneys with falling function are considered for repair.
Treatment Options for PUJO
Our treatment plan is tailored to the cause, patient age and kidney function:
1. Pyeloplasty (Definitive Repair) — Gold-standard surgical
correction where the narrowed segment is removed and the healthy ureter is
reconnected to the renal pelvis. Approaches include:
• Open pyeloplasty — used in complex cases or where anatomy
favours an open approach.
• Laparoscopic pyeloplasty — minimally invasive keyhole surgery
with excellent success and faster recovery.
• Robotic pyeloplasty — offers precision suturing and
ergonomics especially useful in children and complex reconstructions
(availability dependent on centre resources).
2. Endopyelotomy / Endoscopic Options — Endoscopic incision or
balloon dilatation of the narrowed segment may be considered in selected adult
patients with short strictures, but success rates are generally lower than
pyeloplasty.
3. Temporary Drainage — Percutaneous nephrostomy or ureteral
stent for infected or high-pressure systems before definitive repair.
Our aim is to choose the least invasive effective option that preserves renal
function long-term.
What to Expect: Surgery & Recovery
Pyeloplasty is usually performed under general anaesthesia. Minimally invasive
approaches are typically day-care or short-stay procedures depending on age and
comorbidities. A ureteral stent may be placed and removed after a few weeks.
Postoperative follow-up includes imaging (ultrasound, and sometimes repeat
renogram) to confirm unobstructed drainage and stable/improved kidney function.
Most patients return to normal activities within 2–4 weeks after minimally
invasive repair.
Why Choose Swastik Urology Clinic for PUJO Care?
Swastik Urology Clinic provides comprehensive PUJO care with
attention to detail:
• Accurate Diagnosis
Precise assessment using ultrasound, renography and cross-sectional imaging to
plan the correct intervention.
• Minimally Invasive Expertise
Experience in laparoscopic pyeloplasty provides high success rates with shorter
hospital stay and quicker recovery.
• Paediatric & Adult Care
We manage PUJO across age groups — from antenatal hydronephrosis in infants to
acquired obstructions in adults — coordinating with paediatricians and
nephrologists when needed.
• Urgent Drainage & Support
Emergency drainage (nephrostomy) and infection management are available when
required before definitive repair.
When to Consider Pelviureteric Junction Obstruction (PUJO) Treatment
Pelviureteric Junction Obstruction (PUJO) Treatment may be recommended when
symptoms persist, investigations show an important abnormality, or medical
management alone is not giving lasting relief. Early assessment helps identify
the cause, judge severity, and plan the most suitable treatment based on the
patient's symptoms, examination findings, imaging, and overall health.
At Swastik Urology Clinic, Dr. Aditya Sengar offers personalised evaluation for
pelviureteric junction obstruction (pujo) treatment with a focus on timely
diagnosis, safe treatment planning, and long-term follow-up. This helps patients
from Gomti Nagar Extension, Lucknow and nearby areas receive structured care
with better symptom control and improved quality of life.
Common Reasons to Seek Early Review
- Persistent or worsening symptoms affecting daily life
- Recurrent episodes, infections, pain, bleeding, or blockage
- Abnormal reports on ultrasound, scan, lab tests, or examination
- Poor response to medicines or need for definitive treatment
Follow-Up and Recovery Focus
- Clear diagnosis and treatment planning based on disease severity
- Guidance on medicines, procedure timing, and expected recovery
- Monitoring for symptom relief, healing, and treatment response
- Timely review if there is recurrence, complication, or delayed
improvement
Book Pelviureteric Junction Obstruction (PUJO) Treatment Consultation in Lucknow
If you are looking for expert care for
pelviureteric junction
obstruction (pujo) treatment in Gomti Nagar Extension, Lucknow,
Swastik Urology Clinic provides evaluation, treatment planning, and follow-up
tailored to the condition and the patient's needs. Our aim is to deliver safe,
ethical, and result-oriented urology care with clear counselling at every step.
You can also book your visit through our
appointment page
for consultation and treatment guidance at Swastik Urology Clinic.
Frequently Asked Questions About Pelviureteric Junction Obstruction (PUJO)
Treatment
How is PUJO different in children and adults?
Congenital PUJO is common in infants and children and may be
suspected on antenatal ultrasound. In adults, PUJO is often due
to crossing vessels, scarring, stones or tumours. Evaluation and
timing of surgery vary — children may need earlier intervention
to protect renal growth, while adult management is
individualized.
Is minimally invasive pyeloplasty effective?
Yes — laparoscopic and robotic pyeloplasty offer success rates
comparable to open surgery with the advantages of smaller
incisions, less pain and faster recovery when performed by
experienced surgeons.
When should I consult a urologist for PUJO?
Consult a urologist if imaging shows hydronephrosis, you have
recurrent flank pain, urinary infections, hematuria, or if
kidney function is declining. Early specialist assessment helps
protect kidney function and plan appropriate treatment.
