Anne Arundel Urology

Pyeloplasty (UPJ Repair)

Wound Care

Your incisions are sealed from outside bacteria within two days of surgery. Nonetheless, you should protect it from dirt and soiling for at least the first ten days. The incisions will be tender for the first week and the edges should NOT be pulled apart. If you have Steri-Strips, they should be left on for at least 10-14 days, if possible. After this period, you may remove them. If a NEW area of redness or swelling occurs, please conact our office.

Diet

You may return to your normal diet. If have a catheter in the bladder, keep your urine flowing freely by drinking 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:

Bowels

It is not unusual to develop constipation and it is usually due to narcotic pain medications. You may take stool softeners (i.e. Colace, Miralax, etc.) as needed. A bowel movement every other day is reasonable. Use a mild laxative if needed and call if you are having problems. (i.e. 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.

Medication

You should resume your pre-surgery medication(s) unless told not to. You will also be discharged with pain pills (i.e. Lortab, Percocet, Vicodin) for post-operative pain control from the incision and catheter. If the pain is not severe, you may take either Tylenol (acetaminophen) or Advil (ibuprofen) which contain no narcotic agents, and have fewer side effects. Keep in mind that many narcotic pain medications also contain acetaminophen and you should take no more than 4000 mg of acetaminophen per day.

Hygiene

You may shower 48 hours after surgery. Avoid baths, swimming pools and Jacuzzis (anything that submerges the incision) for at least 2 weeks or until the incision(s) are completely healed.

Problems You Should Report To Us

Follow-Up

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

Office phone 8 AM to 4 PM Weekdays – (410) 266-8049
After 4 pm, Weekends and Holidays – (443) 481-3003