Pyeloplasty Home Care Instructions
Pyeloplasty is a surgery which is done to relieve a blockage in the ureteral pelvic junction (UPJ). The UPJ is an area that connects the renal pelvis (part of the kidney) to the tube (ureter) that carries urine from the kidney to the bladder. Pyeloplasty removes the tissue from the blocked area and connects the healthy part of the kidney to the healthy ureter. A tube, called a stent, may be placed into the ureter during surgery to drain urine from the ureter until your child heals.
Early treatment of UPJ blockage can prevent kidney damage. This surgery drains the kidney and releases pressure which could cause damage.
Activities after surgery:
- Encourage quiet play (reading books, playing board games)
- Avoid contact sports, sandboxes, and bicycles for 6 weeks
- No gym for 6 weeks
- Avoid chlorinated swimming pools for 4-6 weeks
- Your child may return to school in 4-5 days
- Your child can bathe after surgery.
- Your child may take a tub bath for 15 minutes 3 times a day for 6 weeks. Let him/her soak in tub (with no soap) to help with healing and cleanliness.
- The dressing covering the incision may be removed in 4-5 days after surgery. It is best to remove it while in the tub.
- Pull the dressing from the side. Do not pull it from top to bottom or bottom to top as this can cause the incision to open.
Tylenol with codeine
- You may give this medication to your child every 4-6 hours as needed for pain.
- Do not give your child any other medications containing acetaminophen (Tylenol) until you stop using this medication.
- If you want to give regular Tylenol in place of Tylenol with codeine, wait at least 4 hours from the time you gave the Tylenol with codeine to avoid over-dosing.
- This is a stool softener.
- Tylenol with codeine and Ditropan both can cause constipation, so it is important to keep the stools soft. Hard stools may cause pressure on your child’s stitches and cause discomfort.
- If a stent or tube is in place, your child will remain on an antibiotic to prevent infection. Your child will take the antibiotic twice a day until 2 days after the tube is removed.
- On the third day after the tube is removed, your child will take the antibiotic once a day until the doctor discontinues the antibiotic.
- You may give Ditropan to your child for bladder spasms while the bladder tube is in place.
- This medication should be stopped the night before the bladder tube will be removed.
- Ditropan may cause flushing to the face and dry mouth; it is important that your child drinks plenty of liquids.
- Your child may return to a normal diet after surgery. Encourage your child to get plenty of fluids (ice pops, water, juice, and soup) to keep his/her urine clear. His/her regular appetite will slowly return to normal. Avoid bananas, apple products, carrots and corn for at least 2 days since these foods can increase the risk of constipation while your child is taking Tylenol with codeine and Ditropan.
- To avoid constipation, your child should drink at least 8 ounces of water for every year of his/her age in the first 2 days after surgery (a 5 year old should drink 40 ounces of water).
When to call your child’s doctor:
- Temperature greater than 101º F
- Excessive bleeding (some spotting is normal)
- Uncontrolled pain – remains fussy and inconsolable even after receiving pain medication
- Difficulty urinating or has not urinated for longer than 2 hours while awake
- Return of the symptoms your child had before surgery
- Doctor’s office phone number: 668-7878. (If you call after normal office hours, the answering service will be available).
- If your child has an external stent he/she should be seen in the office within 3-5 days after surgery. This stent may be left in place to drain the ureter. The tube will be removed in the office with minimal discomfort.
- If you child has an internal stent it will be removed during an outpatient surgery procedure 4-6 weeks after surgery.
- After the stent/tube is removed, your child will need to be seen for a renal/bladder ultrasound and a renal scan in 12-16 weeks after surgery. Please call 757-668-7878 to make an appointment.
Remember: This handout is intended as a general guide for home care after surgery. Please follow specific instructions from your child’s doctor and call the office if you have questions.
Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.