Doctor insights on:
Pathophysiology For Radical Nephrectomy
Alot: Minimum $15-20k. Look into a patient assistance fund at your hospital. ...Read more
Nephrectomy: " open" means a procedure performed through a relative large incision. Radical means they will remove not only the target organ ie kidney but also some surrounding tissue such as the fatty tissue surrounding the kidney along w lymph nodes. Radical surgery is recommended when there is a cancer concern. ...Read more
Lap nephrectomy: Contrary to popular belief, laparoscopic organ removal has about the same complication risk as open surgery. Internal bleeding, infection, pneumonia, blood clots and incisional hernias can occur in both surgeries. Most young/healthy patients do well after either surgical approach. ...Read more
Anything to know post-radical nephrectomy? Is there anything life threatening? When should one wait on the kidney transplant list?
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. ...Read more
My father had a radical nephrectomy 3 years back. He lost one kidney. Recently tests shown his creatinine level 2.0. Not diabetic. How to lower down?
Follow-up: If dad is a well-muscled man (which raises creatinine well above "normal range" for today's couch potatoes) and we already know why he lost half his nephrons, this may not be an issue. I trust he is being followed up and that folks are watching for focal-segmental glomerulosclerosis / hyperfiltration lesion that's fairly common in kidneys that lose their partner. Don't try to treat a lab value. ...Read more
Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...Read more
What are the risk for a chronic obstructive pulmonary disease (copd) patient having a radical nephrectomy?
Depends: COPD exists with varying severity, and most patients can have surgery with no significant increased risk. If COPD is very severe, or there is significant chronic sputum production, surgical risk is higher, but experienced teams of surgeons, anesthesiologists, nurses, and respiratory therapists can help mitigate the risk. One important thing you have control over is pre-op smoking cessation. ...Read more
Right radical nephrectomy in June 2013 and a partial nephrectomy July 14 this year. I have urgency, but little urine flow. UTI or kidney adjusting?
Kidney adjusting: After nephrectomy it is essential the remaining kidney be able to filter the large amt. Of serum for remove of toxins and have the tubules reabsorb 90% of the filtered serum otherwise dehydration would occur. Following partial nephrectomy decreased renal tubules respondig to antidiuretic hormone are diminished and will have to adjust to the more tubular filtering and ADH (vasopressin) readsoption ...Read more
Day before laparo radical nephrectomy, mom told to take magnesium citrate. What for, and is it supposed to be liquid or pill?
Bowel prep.: Magnesium citrate, which is a liquid that comes usually in a green bottle at the drug store, is often used before laparoscopic surgery to prep the bowel. It is a laxative, and cleans out the intestines of stool. This is usually done the day before surgery, and we recommend starting it early so that the patient is not up all night on the toilet. ...Read more
What"s the prognosis of stage 1 and fuhrman grade-2 clear cell renal cancer in 60 yr asymptomatic diabetic male after 2 yrs of radical nephrectomy?
About 90% survival: Depending on the series, you will find estimates from 67% to 94%. With stage I disease, the grade is less important in determining prognosis. A two year disease free interval improves the outlook over the stage alone. ...Read more
My father had Open radical nephrectomy 3 weeks ago and now he complains of abdominal pain and distention. It's normal??
No: By using the word "now" you imply that he was not having (much) recovery pain but now has developed some along with distention. This is urgent. Call his doctor immediately and see whether they want him to come in NOW or meet at the ER! Go now! ...Read more
Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?
Kidney surgery: Partial nephrectomy refers to surgical removal of part of the kidney, usually because of a small tumor/abnormal growth of the kidney. A radical nephrectomy (total kidney removal) is done for larger tumors, or if the partial nephrectomy is not technically possible. ...Read more
Yes: Depending on the size and location of the kidney mass, a partial removal of the kidney cancer is a very good option to help preserve the remaining good kidney tissue. This has in fact become the mainstay of treatment for many tumors and the long-term data shows good cancer control with partial removal versus removing the entire kidney, which was the traditional type of surgery in the past. ...Read more
Removal of kidney: Surgical removal of kidney for any number of causes. ...Read more
Small scar: Laparoscopic nephrectomy will result in small scar, minimum pain, early discharge from the hospital, just as safe as open nephrectomy. ...Read more
Depends: A partial nephrectomy is becoming the new standard of care for tumors that can be manage this way. Patients on the long run do better and minimize their risk of developing kidney disease as they age. Partial nephrectomy is challenging & has the potential for more complications than a nephrectomy. Risks include bleeding, urine leaks, loss of function on that kidney, tumor recurrence to name few. ...Read more
DARK urine=blood: Cola colored urine is a sign of blood. This certainly needs to be checked out soon. Be prepared to give a 'clean catch urine' in the doctors office for analysis. You may need a cat (ct) scan for further evaluation of your urinary tract as well as follow up with your urologist. ...Read more
An upper respiratory: Infection should be cleared up prior to elective and semi-elective surgery. Having a URI during anesthesia can lead to intra-op complications like bronchospasm and respiratory collapse and post-op complications like pneumonia and prolonged intubation. Consider a preop course of antibiotics if appropriate. ...Read more
PRE-OP NEPHRECTOMY: Many doctors have many different preps. If the tumor very large a bowel prep is sometimes needed. ...Read more
Only part removed: A partial nephrectomy is when only part of one kidney is removed. A while ago it was standard to simply remove the entire kidney. Medical knowledge and surgical techniques now allow us to remove only the area of concern. This leaves you with more total kidney tissue and thereby more kidney function (cleaning capability) after the procedure. Good luck. ...Read more
2-3 hours: In experienced hands.Get a more detailed answer ›
Urologist: In a large city or academic medical center, most nephrectomies are performed by urologists. Within urology, there are particular sub specialists who focus on kidney surgery including minimally invasive options. Transplant surgeons and vascular surgeons can also occasionally remove kidneys. In a more rural setting, a general surgeon may be the one performing this procedure in the absence of urology. ...Read more
After bilateral nephrectomy, you would need some form of dialysis or transplant, as lack of kidney function leads called CKD leads to higher blood pressure
besides salt excess, increase hormonal influences like increase angiotension and catecholamines also cause hypertension. ...Read more
Depends: As long as your operation is done by an expert, it should be safe. Ask your sugeon how many he/she has done and about past results. It can be a very safe operation in the right hands. ...Read more
Alot: Minimum $15-20k. Look into a patient assistance fund at your hospital. ...Read more
I take it you are a recepient of a kidney transplant and your kidneys were causing harm to you so they were removed at the same time.
The new kidney will do the work of 2 as long as there is no rejection or infection. ...Read more
What are the steps to take when a nephrectomy is preformed procedure wise? Dissection, anatomy to know, etc.
I'm in rn school and having trouble obtaining information about the correct procedure for positioning a patient after a nephrectomy. Please help.?
Bleed after surgery: Hematoma is a collection of blood. Means that nephrectomy patient either continued to or started to bleed after kidney removal surgery. Can be dangerous with large or massive hematomas which may require transfusion to correct blood loss, or surgical exploration to tie of bleeding vessel/s. ...Read more
Had nephrectomy 15 years ago. I only have one normal funtioning kidney now, can I donate blood? Help
Probably: As long as your normal blood count is normal, you should be able to donate blood without affecting your kidney. But you should check with your nephrologist to be on the safe side. ...Read more
Had nephrectomy 15yrs ago. I only have one normal functioning kidney now. Can I donate blood? Why yes and why not? Help
Here are some. ..: Living with an acquired solitary kidney like you is not a contraindication to donate blood as long as you're healthy with no blood-borne transmitted diseases like HIV, hepatitis - B & C, syphilis, etc. But some restrictions for such may exist among different countries. So, ask your local institutions for details. ...Read more
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