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Reconstructive urology pyeloplasty is a specialized surgical procedure aimed at repairing the ureteropelvic junction (UPJ) obstruction, a condition where the junction between the renal pelvis and the ureter is narrowed or blocked, impeding the flow of urine from the kidney to the bladder. This obstruction can lead to a variety of symptoms including flank pain, recurrent urinary tract infections, kidney stones, and potential deterioration of kidney function.

In reconstructive urology, pyeloplasty involves excising the obstructed segment of the ureter and reattaching the healthy ends to restore a wide and unobstructed passage for urine flow. This procedure can be performed through different surgical approaches, including traditional open surgery, laparoscopic surgery, or robotic-assisted surgery. Minimally invasive techniques such as laparoscopic or robotic-assisted pyeloplasty are favored due to their benefits, including smaller incisions, less postoperative pain, shorter hospital stays, and quicker recovery periods.

After radical cystectomy, urinary diversion is necessary to reroute urine from the kidneys to a new way of exiting the body. This may involve creating a new bladder from a segment of the bowel (neobladder), diverting urine to an external pouch (ileal conduit), or other methods depending on the patient's needs and preferences.