WBMC Reg. No. 69199 +91 87777 94308

PUJ Obstruction

PUJ obstruction is a blockage where the kidney meets the ureter, slowing urine drainage and possibly damaging the kidney over time.

Diagram of pelviureteric junction obstruction with a dilated renal pelvis

Swipe sideways to see the full diagram

Narrowing at the kidney-ureter junction causes the kidney pelvis to swell

Clinical symptoms

  • Intermittent flank pain, often worse after large amounts of fluid
  • Nausea and vomiting during pain episodes
  • A palpable abdominal lump in severe swelling of the kidney
  • Urinary tract infections

Treatment options

  • Observation — for mild cases with good kidney function, with regular follow-up scans.
  • Pyeloplasty — the standard reconstructive operation (open, laparoscopic or robotic) to remove the blocked segment and rejoin the ureter to the kidney pelvis.
  • Endopyelotomy — an endoscopic incision from inside, reserved for selected cases.

When to see a urologist

Seek evaluation for recurrent flank pain, especially after drinking a lot of fluid, or if an ultrasound shows kidney swelling (hydronephrosis).

This information is for education and does not replace an examination. Please consult a doctor for your own condition.

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