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DaVinci Robotic Pyeloplasty

Robotic pyeloplasty is a minimally-invasive procedure done to remove a blockage occurring where the kidney meets the ureter.  Da Vinci Surgery uses state-of-the-art technology to help your doctor perform a more precise operation than conventional instrumentation allows. It offers numerous potential benefits over a conventional open surgery.

When you get home:

Diet

You may return to your normal diet. Alcohol, spicy foods, and drinks with caffeine may cause some irritation or sense of the need to void despite the fact that the catheter is emptying the bladder. If these foods do not bother you, however, there is no reason to avoid them in moderation. More importantly, keep your urine flowing freely. Drink plenty of fluids during the day (8-10 glasses). The type of fluid (except alcohol) is not as important as is the amount. Water is best, but juices, coffee, tea, soda are all acceptable

Activity

Your physical activity is to be restricted, especially during the first two weeks you are home. You are encouraged to walk as much as you can tolerate. During this time use the following guidelines:

  • No heavy lifting greater than 10-15 lbs
  • No strenuous exercise for 4 weeks then, gradually increase as tolerated
  • No driving or machinery while having pain and taking narcotic pain meds. Usually 1-2 weeks.
  • Limit long car rides for 1-2 weeks.
  • You may climb stairs, but be careful.

Medication

You should resume your pre-surgery medication(s) unless told not to. You may be discharged with iron tablets to build up your blood count. These may cause constipation, and will cause dark stools. You will also be discharged with pain pills (Darvocet, Demerol, Percocet, Vicodin) for post-operative pain control from the incision and catheter. Tylenol (acetaminophen) or Advil (ibuprofen) which have no narcotics may be used if the pain is not too bad and you can tolerate those medications.

Wound 

Your incisions are sealed from outside bacteria within two days of surgery. However, you should keep it clean and protected for the next 2 weeks. The incisions will be tender for the first week and the edges should not be pulled apart. The steri-strips should be left on for at least 10-14 days, if possible. After this period, you may remove the steri-strips. If a new area of redness or swelling occurs, please let us know.

Hygiene

You may shower 48 hours after surgery. Avoid baths until the incision heals.

Side Effects:

The rectum and prostate are next to each other and any very large and hard stools that require straining to pass can cause bleeding. You may take stool softeners (Colace, Surfak) as needed. A bowel movement every other day is reasonable. Use a mild laxative if needed and call if you are having problems (MOM 2-3 tbsp or 2 Dulcolax tabs). Patients sometimes develop diarrhea probably secondary to antibiotics. You may use Kaopectate as directed (avoid Imodium). If it persists, please call. Do not strain to have a bowel movement as this may break the sutures connecting your bladder and urethra which may require leaving your catheter in longer.

Follow Up:

You will need a follow-up appointment in approximately 10-14 days. Please call your office for an appointment. We will then schedule a time to have your stent removed.