A member asked:

Anything to know post-radical nephrectomy? is there anything life threatening? when should one wait on the kidney transplant list?

3 doctors weighed in across 2 answers
Dr. Amy Friedman answered

Specializes in Transplant Surgery

2 year wait: A radical nephrectomy is done to treat cancer. We generally want to wait 2 yrs before transplantation and use of the immunosuppressant medications because they can worsen any hidden cancer cells. But today, many also think that a very small cancer in the kidney that had a very low chance of having spread may not require the two year wait. A bit complex. Talk to the transplant team directly.

Answered 3/23/2013

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Depends: If your remaining kidney is normal your likelihood of needing dialysis or a transplant is very low. In fact if you are born with 1 kidney your risk is the same as people born with 2 kidneys. Follow up of kidney transplant donors demonstrates a very small increase in risk. I would recommend a low sodium diet, avoid tobacco, avoid obesity and maintain a normal bp. Have labs checked yearly.

Answered 7/31/2018

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