PyeloplastyPPyeloplastyPyeloplastyEnglishUrologyChild (0-12 years);Teen (13-18 years)NAUretersProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZCathy Daniels, RN, MS, ACNP;Dalia Bozic, RN, BScN7.0000000000000068.0000000000000740.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Pyeloplasty is an operation that unblocks one or both ureters. Find out when pyeloplasty is done, and how to take care of your child following surgery.</p><h2>What is a pyeloplasty?</h2><p>A pyeloplasty is an operation that unblocks the ureters where they meet the kidneys. The ureters are tubes that take urine from the kidneys to the bladder. The kidneys can be damaged if urine does not flow properly into the ureters. The operation usually takes about two to three hours. A child may stay in the hospital for up to several days after this operation. </p> <figure> <span class="asset-image-title">Urinary system (male)</span><img src="https://assets.aboutkidshealth.ca/akhassets/Urinary_male_MED_ILL_EN.jpg" alt="" /> </figure><h2>Key points</h2> <ul> <li>A pyeloplasty is an operation that unblocks one or both ureters. </li> <li>After a pyeloplasty, your child will have to have one or more catheters that will be removed later. </li> <li>Sometimes children can have painful bladder spasms after a pyeloplasty. </li> <li>Parents should learn the signs of bladder spasm. </li> </ul><h2>Bladder spasms</h2> <p>Catheters and stents may irritate the bladder and cause spasms. Spasms are when the bladder tightens suddenly. Sometimes bladder spasms are painful, sometimes not. If your child has painful bladder spasms, they will be given medicine. This medicine relaxes the bladder and reduces the pain. </p> <h3>Signs you child may be having painful bladder spasms</h3> <p>You can tell whether your child is having a spasm if they:</p> <ul> <li>Complains of pain that comes quickly and then goes away </li> <li>Tells you they have an itchy bottom </li> <li>Needs to urinate or have bowel movements often </li> <li>Holds or rubs their genitals more than usual, or, if your child is an infant or toddler, bends their knees up to their chest </li> <li>Leaks urine around the catheter </li> </ul> <p>The nurse will check your child's pain control regularly. However, you know your child best. If you believe your child's pain is not being well managed, tell the nurse.</p><h2>After the operation</h2> <h3>IV and diet</h3> <p>When your child returns from the operating room, they will have an intravenous (IV) tube. An IV is used to give medicine and fluids your child needs the first few days after surgery. At first, your child will be allowed only sips of clear fluids. Over the next day or two your child will gradually return to a normal diet. Infants will go back to breast or formula feedings. After you child is eating and drinking well and the IV antibiotics are no longer needed, then the IV tube will be taken out. </p> <h3>A urinary or Foley catheter</h3> <p>A urinary catheter, sometimes called a Foley, will also be in place for two or three days after your child has surgery. The catheter is a small tube that goes in through the urethra and into the bladder. All the urine that would normally be collected in the bladder drains out through this tube into a urine bag. The catheter will be securely taped to your child's leg. </p> <h3>Stents</h3> <p>Your child may also have an internal stent. A stent is a small plastic tube that sits inside the ureter to keep it open. You will not be able to see the stent because it is inside the ureter. Not all children need a stent. Your urologist can tell you if your child needs a stent or not. After your child has completely healed, the stent will be surgically removed. This may happen as much as six weeks after the pyeloplasty. </p> <h3>The incision site</h3> <p>Your child's incision, the place where the surgeon cut through the skin, will be covered with a dressing that stays on for five days after surgery. The stitches are usually dissolvable, so they do not need to be removed. A drain called a Penrose drain may be attached to the belly, close to the incision. It takes away extra fluid that may have collected during surgery. This drain looks a lot like a thick elastic band. It will be stitched in place and covered with a piece of gauze. It is usually removed the day before your child goes home. </p> <h2>Managing your child's pain</h2> <p>There are several ways to control a child's pain after a pyeloplasty. The one used will depend on your child's age and what they need. At first, all pain medicine is given directly through your child's IV tube. When your child feels better, the pain medicine will be given by mouth. Needles are not used for pain medicine. </p><h2>At SickKids</h2> <h3>Supporting your child</h3> <p>When preparing your child for an operation, the urology team recommends that whenever possible, your child and family members attend the Pre-Admission Program offered at Sick Kids. For more information call 416-813-6150 or visit the website at www.sickkids.ca </p> <p>A Child Life Specialist can also help to prepare and support your child if they are anxious about the operation.</p><h2>Useful websites</h2> <p><a href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p><a href="/">www.aboutkidshealth.ca</a> </p> <p><a href="http://www.cua.org/" target="_blank">www.cua.org</a> </p>
PyéloplastiePPyéloplastiePyeloplastyFrenchUrologyChild (0-12 years);Teen (13-18 years)NAUretersProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZCathy Daniels, RN, MS, ACNP;Dalia Bozic, RN, BScN7.0000000000000068.0000000000000740.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Pyeloplasty is an operation that unblocks one or both ureters. Find out when pyeloplasty is done, and how to take care of your child following surgery.</p><h2>Qu’est-ce qu’une pyéloplastie?</h2> <p>Une pyéloplastie est une opération qui débloque les uretères à l’endroit où elles rencontrent les reins. Les uretères sont les tubes qui transportent l’urine des reins à la vessie. Les reins peuvent être endommagés si l’urine ne se rend pas jusqu’aux uretères. L’opération prend habituellement deux à trois heures. L’enfant pourrait demeurer à l’hôpital pendant plusieurs jours après cette opération. Système urinaire (masculin) </p> <figure> <span class="asset-image-title">Système urinaire (masculin)</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Urinary_male_MED_ILL_FR.jpg" /> </figure><h2>Key points</h2> <ul> <li>A pyeloplasty is an operation that unblocks one or both ureters. </li> <li>After a pyeloplasty, your child will have to have one or more catheters that will be removed later. </li> <li>Sometimes children can have painful bladder spasms after a pyeloplasty. </li> <li>Parents should learn the signs of bladder spasm. </li> </ul><h2>Spasmes vésicaux</h2> <p>Le cathéter et l’endoprothèse peuvent irriter la vessie et causer des spasmes, soit une contraction soudaine de la vessie. Ces spasmes peuvent être douloureux ou non. Si les spasmes de votre enfant sont douloureux, il recevra des médicaments qui relaxent la vessie et réduisent la douleur.</p> <h3>Signes que votre enfant a des spasmes vésicaux douloureux</h3> <p>Votre enfant a des spasmes si :</p> <ul><li>elle se plaint de douleurs qui arrivent et disparaissent rapidement;</li> <li>elle rapporte des démangeaisons au siège;</li> <li>elle doit uriner ou aller à la selle souvent;</li> <li>serre ou frotte ses parties génitales plus souvent qu’à l’habitude, ou, s’il s’agit d’un nourrisson ou d’un trottineur, plie les genoux jusqu’à la poitrine;</li> <li>de l’urine s’écoule autour du cathéter.</li></ul> <p>L’infirmière vérifiera régulièrement le contrôle de la douleur de votre enfant. Cependant, vous connaissez votre enfant mieux que quiconque. Si vous pensez que votre enfant a mal, dites-le à l’infirmière.</p><h2>Après l’opération</h2> <h3>IV et alimentation</h3> <p>Quand votre enfant sortira de la salle d’opération, il aura un tube intraveineux (IV). On se sert de l’IV pour administrer les médicaments et les liquides dont votre enfant a besoin les premiers jours après l’opération. Au début, votre enfant ne pourra boire que de petites gorgées de liquide clair. Pendant les deux journées qui suivront, votre enfant reprendra graduellement son alimentation normale. Les nourrissons pourront être allaités ou recevoir une formule de nouveau. Une fois que votre enfant mangera et boira adéquatement et que les antibiotiques IV ne seront plus nécessaires, le tube IV sera retiré.</p> <h3>Cathéter urinaire ou Foley</h3> <p>Un cathéter urinaire, parfois appelé Foley, sera aussi en place pendant deux à trois jours après l’opération. Le cathéter est un petit tube que l’on insère dans l’urètre et qui se rend à la vessie. Toute l’urine qui s’accumulerait normalement dans la vessie s’écoule par ce tube jusque dans un sac. Le cathéter sera attaché à la jambe de votre enfant.</p> <h3>Endoprothèses</h3> <p>Votre enfant pourrait aussi avoir une endoprothèse, un petit tube de plastique placé dans l’uretère pour la garder ouverte. Vous ne pourrez pas la voir, étant donné qu’elle est placée dans l’uretère. Ce ne sont pas tous les enfants qui ont besoin d’une endoprothèse. L’urologue pourrait vous dire si votre enfant en a besoin. Une fois la guérison terminée, l’endoprothèse sera retirée au moyen d’une opération, qui pourrait survenir jusqu’à six semaines après la pyéloplastie.</p> <h3>Le site de l’incision</h3> <p>L’incision de votre enfant, soit l’endroit où le chirurgien a coupé la peau, sera couverte d’un pansement qui demeure en place pendant cinq jours. Les points de suture sont habituellement fondants; nul besoin de les enlever. Un drain appelé drain Penrose pourrait être fixé au ventre, près de l’incision. Il sert à drainer le liquide qui pourrait s’être accumulé pendant l’opération. Il ressemble beaucoup à un élastique épais. Il sera fixé et recouvert d’un morceau de gaze. On le retire le jour avant que votre enfant retourne à la maison.</p> <h2>Gestion de la douleur de votre enfant</h2> <p>Il existe plusieurs moyens de contrôler la douleur d’un enfant après une pyéloplastie. La méthode choisie dépendra de l’âge de votre enfant et de ses besoins. Au début, les médicaments contre la douleur sont administrés directement dans le tube IV de votre enfant. Quand il se sentira mieux, le médicament est administré par la bouche. On n’administre pas de médicaments contre la douleur au moyen d’aiguilles.</p><h2>À SickKids</h2> <h3>Soutien à votre enfant</h3> <p>Quand vous préparerez votre enfant pour une opération, l’équipe d’urologie recommande que dans la mesure du possible, votre enfant et les membres de sa famille participent au programme préalable à l’admission à Sick Kids. Pour de plus amples renseignements, composez le 416-813-6150 ou visitez le site Web, à l’adresse www.sickkids.ca</p> <p>Un spécialiste des enfants peut aussi aider à préparer et à soutenir votre enfant si l’opération l’inquiète.</p><h3>Sites Web utiles</h3> <p><a href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p><a href="/">www.aboutkidshealth.ca</a> </p> <p><a href="http://www.cua.org/" target="_blank">www.cua.org</a> </p>

 

 

Pyeloplasty1016.00000000000PyeloplastyPyeloplastyPEnglishUrologyChild (0-12 years);Teen (13-18 years)NAUretersProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZCathy Daniels, RN, MS, ACNP;Dalia Bozic, RN, BScN7.0000000000000068.0000000000000740.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Pyeloplasty is an operation that unblocks one or both ureters. Find out when pyeloplasty is done, and how to take care of your child following surgery.</p><h2>What is a pyeloplasty?</h2><p>A pyeloplasty is an operation that unblocks the ureters where they meet the kidneys. The ureters are tubes that take urine from the kidneys to the bladder. The kidneys can be damaged if urine does not flow properly into the ureters. The operation usually takes about two to three hours. A child may stay in the hospital for up to several days after this operation. </p> <figure> <span class="asset-image-title">Urinary system (male)</span><img src="https://assets.aboutkidshealth.ca/akhassets/Urinary_male_MED_ILL_EN.jpg" alt="" /> </figure><h2>Key points</h2> <ul> <li>A pyeloplasty is an operation that unblocks one or both ureters. </li> <li>After a pyeloplasty, your child will have to have one or more catheters that will be removed later. </li> <li>Sometimes children can have painful bladder spasms after a pyeloplasty. </li> <li>Parents should learn the signs of bladder spasm. </li> </ul><h2>Bladder spasms</h2> <p>Catheters and stents may irritate the bladder and cause spasms. Spasms are when the bladder tightens suddenly. Sometimes bladder spasms are painful, sometimes not. If your child has painful bladder spasms, they will be given medicine. This medicine relaxes the bladder and reduces the pain. </p> <h3>Signs you child may be having painful bladder spasms</h3> <p>You can tell whether your child is having a spasm if they:</p> <ul> <li>Complains of pain that comes quickly and then goes away </li> <li>Tells you they have an itchy bottom </li> <li>Needs to urinate or have bowel movements often </li> <li>Holds or rubs their genitals more than usual, or, if your child is an infant or toddler, bends their knees up to their chest </li> <li>Leaks urine around the catheter </li> </ul> <p>The nurse will check your child's pain control regularly. However, you know your child best. If you believe your child's pain is not being well managed, tell the nurse.</p><h2>What your child can do at home after the surgery?</h2> <p>Encourage your child to get up and move around. Encourage your child to take deep breaths and to cough. Doing these things <a href="/Article?contentid=1219&language=English">at home after a pyeloplasty</a> will help your child get better faster.</p><h2>After the operation</h2> <h3>IV and diet</h3> <p>When your child returns from the operating room, they will have an intravenous (IV) tube. An IV is used to give medicine and fluids your child needs the first few days after surgery. At first, your child will be allowed only sips of clear fluids. Over the next day or two your child will gradually return to a normal diet. Infants will go back to breast or formula feedings. After you child is eating and drinking well and the IV antibiotics are no longer needed, then the IV tube will be taken out. </p> <h3>A urinary or Foley catheter</h3> <p>A urinary catheter, sometimes called a Foley, will also be in place for two or three days after your child has surgery. The catheter is a small tube that goes in through the urethra and into the bladder. All the urine that would normally be collected in the bladder drains out through this tube into a urine bag. The catheter will be securely taped to your child's leg. </p> <h3>Stents</h3> <p>Your child may also have an internal stent. A stent is a small plastic tube that sits inside the ureter to keep it open. You will not be able to see the stent because it is inside the ureter. Not all children need a stent. Your urologist can tell you if your child needs a stent or not. After your child has completely healed, the stent will be surgically removed. This may happen as much as six weeks after the pyeloplasty. </p> <h3>The incision site</h3> <p>Your child's incision, the place where the surgeon cut through the skin, will be covered with a dressing that stays on for five days after surgery. The stitches are usually dissolvable, so they do not need to be removed. A drain called a Penrose drain may be attached to the belly, close to the incision. It takes away extra fluid that may have collected during surgery. This drain looks a lot like a thick elastic band. It will be stitched in place and covered with a piece of gauze. It is usually removed the day before your child goes home. </p> <h2>Managing your child's pain</h2> <p>There are several ways to control a child's pain after a pyeloplasty. The one used will depend on your child's age and what they need. At first, all pain medicine is given directly through your child's IV tube. When your child feels better, the pain medicine will be given by mouth. Needles are not used for pain medicine. </p><h2>At SickKids</h2> <h3>Supporting your child</h3> <p>When preparing your child for an operation, the urology team recommends that whenever possible, your child and family members attend the Pre-Admission Program offered at Sick Kids. For more information call 416-813-6150 or visit the website at www.sickkids.ca </p> <p>A Child Life Specialist can also help to prepare and support your child if they are anxious about the operation.</p><h2>Useful websites</h2> <p><a href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p><a href="/">www.aboutkidshealth.ca</a> </p> <p><a href="http://www.cua.org/" target="_blank">www.cua.org</a> </p>https://assets.aboutkidshealth.ca/akhassets/Urinary_male_MED_ILL_EN.jpgPyeloplasty

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