Doctor insights on:
Biopsy Kidney Percutaneous
I have to have a kidney stone removed by percutaneous and am really scared what can I expect during the procedure and how long should I be in hospit?
See Answer: Usual length of stay 1-2 days. May or may not have a nephrostomy tube placed. Discomfort/pain usually mild and controlled with oral pain meds. Potential risks include bleeding, infection, urine leakage, need for additional procedures. All your questions specific to your problem and planned procedure should be answered by your urologist before the procedure. This is what informed consent is for. ...Read moreSee 1 more doctor answer
In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more
Here are some...: Percutaneous nephrolithotomy is done through small opening(s) in the back to access, break, wash-out, and extract stone/fragments with various high-tech stone-breaking machines such as ultrasound, EHL, holmium laser, etc. Most patients tolerate it very well after adjusting to realistic expectation and judiciously using pain medications. For detail, ask Doc timely. ...Read more
How would you treat a pregnant woman of 18 weeks with sever painless hydronephrosis on her left kidney? Would you let it go untreated being watched? Or would you perform a percutaneous nephrostomy? Or what else? Thanks!
Not from pregnancy: U r probably seeing an OB dr.. Best consult with experienced urologist. Management depends upon presence and thickness of kidney cortex (functional part of kidney), may require a temporary percutaneous jj tube between bladder & kidney or nephrostomy tube (placed thru posterior abdominal wall, best by interventional radiologist) for duration of pregnancy. Need BUN & creatinine checked now. ...Read moreSee 1 more doctor answer
What would cause atelectasis with effusions 24 hours after percutaneous liver biopsy? Both lungs. Chest pain.
Worry about bleed: See your doctor - with the biopsy we worry about bleeding of the liver or other tissue. Uncertain why you are on plaquenil (hydroxychloroquine). This medicine could be used to treat other conditions that you have and these other conditions could be causing these changes ...Read moreSee 2 more doctor answers
It is Wednesday and I am having a percutaneous nephrolithotomy on my kidney on Tuesday. Is it safe to get a small tattoo on my upper arm on Friday?
Kidney procedure: No. Tattoo is not a good idea before an invasive procedure. There is a risk for infection that may complicate or delay your necessary medical procedure. ...Read more
I have a dominant nodule seen in the medial inferior left thyroid measuring 1.5cm percutanous fine needle biopsy recommended. What does this mean?
FNA: FNA - fine needle aspiration, is a procedure where a thin needle is inserted directly into the thyroid nodule. Cells from the nodule are aspirated and put on glass slides and stained. The slides are looked at under the microscope and a diagnosis is given. The procedure is usually done after the skin has been numbed up with local anesthesia. Depending on the diagnosis, surgery may be necessary. ...Read more
Being dominant nodule seen in the medial inferior left thyroid measuring 1.5cm percutanous fine needle biopsy recommended. Can you explain what this means?
Thyroid nodule: The likelihood of any thyroid nodule being a cancer is low, but like any cancer it is important to recognize early and get treatment. A thyroid fine needle biopsy may be needed to get a sample of the nodule to see what it is. Presumably, you had a thyroid image (ultrasound, ct). It is important not just to get a test, but to see a doctor who knows about these things (an endocrinologist). ...Read more
Yes: Most medical disease (not stones or tumors) is bilateral, the same on both sides. ...Read more
Depends: Kidney biopsies are done under local anesthesia (unless you are a pediatric patient) and either an ultrasound or CT scan is used to select a good location. Many physicians will inject 5-15ml of 1% lidocaine into the skin/muscle/soft tissues. You will still feel some pressure but should not have sharp pain during the biopsy. ...Read moreSee 1 more doctor answer
Aunt kidney problem creatinine 17. Kidney size normal dr. Says chances of revival ofkidney function. Biopsy sent. Passes urine.Can kidney revive age60?
Creatinine of 17?: Are you sure that your aunt's creatinine (c) is 17, not 1.7? If her c is 17, she should be on dialysis. A biopsy would not be done in someone that high a c. If the c is 1.7, it seems that she had a glomerulonephritis, the cause of which needs to be determined for a diagnosis and prognosis. The best way to get more information about your aunt is to call the doctor who ordered the renal biopsy. ...Read more
A friend had a 24 hr urine test & her #s we're 1250 she said if that # increases to 1500 they would biopsy her kidneys . What dose this all mean ?
Stop worrying: The worst that can happen is some heavy-duty bleeding and a trip to the operating room. A fraction of a percent of kidney biopsies are followed by this adventure, but i'd be much more worried about not having a tissue diagnosis on that cyst. ...Read more
If creatanine level rises upto 7.2 from2.5 in few hrs after biopsy...Does it required biopsy of kidneys also after dialysis..?
Unusual: Kidney biopsy, in the absence of complications, should not lead to that kind of increase in your creatinine. Bleeding in to the urinary tract or around the kidneys could compress the kidney thus compromising its function. This sounds like an emergency that you should discuss with your nephrologist/interventionalist asap! ...Read more
Lymph node near kidney 3.6x2.7 cm. Had biopsy 5 days ago. What is a reasonable time frame to expect results? I'm so anxious waiting...
Varies: Lymphnode biopsies take longer than most other biopsies due to the number of tests done on lymphnodes. A week is not unusual. You may wish to check with your doctor if s/he has received the report. If not you may request your doctor to contact the pathologist reading the biopsy for a report. ...Read more
Have 2 low grade tumors in the lungs and kidney with the lungs being primary.. Would the next tumor they are going to biopsy be low grade as well ?
Lung Tumor: If i understand you correctly, you have a low grade lung tumor that has spread to the kidney, and not two separate tumors. As a general rule, a new metastasis will have the same morphology as the original tumor, but, even so, a metastatic lung tumor, even if it is "low grade, " requires immediate treatment, which may include surgery, chemotherapy and irradiation, depending on the diagnosis. ...Read moreSee 2 more doctor answers
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
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