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Is Pyeloplasty Surgery Safe And Feasible For The Elderly?

Posted on Fri, 25 Jan 2019

Question: What about pyloplasty surgery for women over 60? Is it safe?

Answered by Dr. V. N. S. Parinam (44 minutes later)

Brief Answer:
Pyeloplasty

Detailed Answer:

Hi,

Are you talking about Pyeloplasty, a procedure to reconstruct the ureteropelvic junction to restore the flow of urine?

I see that there was stenting done there.

Yes, you can get the procedure done if there is a functioning kidney there.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (10 hours later)

I am 82 years old. The doctor I saw yesterday said they don't do it on people over 60. He said it is a 4-1/2 hour surgery and dangerous for heart attack and stroke. He does not want to do it. He said if I lose the kidney I still have one that works. Should I pursue this or what?

Answered by Dr. V. N. S. Parinam (8 hours later)

Brief Answer:
Surgery may not be recommended.

Detailed Answer:

Hi,

It does not make sense and efforts to do it in an 82 yr old.
Your doctor was right in rejecting the surgery.

It becomes a necessary procedure for you if your other kidney is working well.

So you do not have to pursue this further with any other doctor for opinions.

Regards,
Dr. Suma Parinam, General & Family Physician

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Above answer was peer-reviewed by : Dr. Nagamani Ng