Robotic pyeloplasty is a minimally-invasive procedure done to correct a kidney blockage occurring at the
UPJ - ureteropelvic junction (where kidney joins the ureter). There are different reasons the UPJ can
become narrowed or blocked, causing poor urine drainage, pain, and deterioration of the kidney function.
Dr Mishail has successfully performed multiple robotic UPJ repairs, even on patients who had prior failed
pyeloplasties, with excellent outcomes. During robotic pyelopasty, the instruments are placed
inside the patient through several small incisions in the abdomen. The urinary tract is then surgically
reconstructed to remove any scar tissue in the ureter and repair narrowed areas contributing to the
obstruction. The procedure typically lasts 1.5 hours and patients are usually discharged home the next day. A ureteral stent is typically left in place to bridge the
repair for four weeks and is subsequently removed in the doctor's office.
Besides UPJ repair, Dr Mishail also specializes in other minimally invasive and robotic reconstructive
procedures of the urinary tract including ureteral stricture disease, urinary bladder surgery, ureteral reflux correction and
reimplantation.
