Robotic-Assisted Pyelonephrectomy for Pyeloplasty in Pyelophritis | Urological Clinic of TUM University Hospital Rechts der Isar

At the Urological Clinic of TUM University Hospital Rechts der Isar, surgical management of kidney infections (pyelonephritis) triggered or sustained by impaired urine drainage typically focuses on restoring unobstructed outflow from the kidney. In practice, this often means a reconstructive approach such as pyeloplasty when a narrowing at the renal pelvis/ureter junction is suspected, supported by targeted diagnostics to confirm both anatomy and kidney function (commonly including ultrasound/CT and, when helpful, renal scintigraphy to assess split function and drainage). The operative course is designed to be minimally invasive wherever appropriate, using advanced robot-assisted techniques in a high-acuity university setting. The department is equipped with dedicated operative infrastructure and robotic surgery capability, and pyeloplasty is explicitly included in the clinic’s documented procedural spectrum. When infections have already caused severe, irreversible damage and the affected kidney has lost function, the definitive option can shift from reconstruction to kidney removal (nephrectomy) to stop persistent infection-related symptoms and complications in carefully selected cases.