Doctor insights on:
Pathophysiology For Radical Nephrectomy
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
Alot: Minimum $15-20k. Look into a patient assistance fund at your hospital. ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 readsoption ...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
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