of patients require no further surgeries after reconstructive surgeries
95,9 %
of patients experience no significant complications after reconstructive surgeries
97,3 %
Benefits of Dr. Sarychev's Surgery
97,3 % — without significant complications
For reconstruction, the affected kidney should be functional.
Special Features
The severity of symptoms depends on the degree of narrowing and the resulting urinary retention. Often, narrowings of the renal pelvis go unnoticed. Affected patients frequently suffer from flank pain, discomfort during urination, or recurrent urinary tract infections.
Symptoms
The causes of these scars can be both congenital and acquired, for example, as a result of inflammations or previous kidney surgeries.
Causes
The Da-Vinci pyeloplasty is a robot-assisted, minimally invasive keyhole surgery that requires special surgical expertise. Instruments are introduced under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.
Kidney
About the procedure
Uroviva Praxis, Männedorf
Consultation
Spital Männedorf
Spital Herisau
Surgery locations
no dressings, the stitches are self-dissolving
Wounds
minimal, oral painkillers
Pain
3 weeks (internal ureteral catheter)
Catheter
1 - 2 days
Hospital stay
under 1 hour
Surgery time
Da Vinci, robot-assisted
Method
Treatment information
Pyeloplasty is a plastic surgical procedure at the junction of the renal pelvis to the ureter in patients with scarring (stenoses) causing a significant disruption of kidney outflow.
Pyeloplasty

How is the surgery performed?

Questions about the procedure
3 questions
01/
The success of the operation depends on the team’s experience and specific patient data.
During the procedure, obstructive scars at the renal pelvis junction are removed, and a new connection between the renal pelvis and the ureter is established, with an internal ureteral catheter being placed. During this operation, large renal pelvic stones can also be removed.

What risks should be considered?

02/
Possible side effects include urinary retention, recurrence of scarring obstructing urine flow, inflammations, and urinary tract infections.
Surgery-specific risks
Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.
Patient-specific risks
Every surgery carries certain risks, such as bleeding during or after the operation, damage to adjacent organs, or wound healing problems.
General surgical risks

What happens after the surgery?

03/
After the surgery, which aims at restoring normal urine flow, continuous monitoring of the kidneys is essential. Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.
Surgery videos
Da-Vinci procedures by Dr. Sarychev on YouTube.
YouTube · @DrSarychev
Watch surgery videos
@DrSarychev