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Doctor insights on: Radical Nephrectomy Steps

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Chemotherapy after bladder radical cystectomy needed?

Chemotherapy after bladder radical cystectomy needed?

Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more

Dr. Richard Link
1,057 doctors shared insights

Nephrectomy (Definition)

Surgical removal of kidney for ...Read more


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Foot drop after radical nephrectomy surgery?

Foot drop after radical nephrectomy surgery?

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

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How useful is radical prostatectomy?

How useful is radical prostatectomy?

For cancer yes: Used generally for Prostate cancer as long as the disease is deemed curable by that method ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more

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How effective is radical prostatectomy?

How effective is radical prostatectomy?

Complicated question: Radical prostatectomy (RP) can be very effective done properly, especially for cancers confined to the prostate gland (stage T2). It has been shown to reduce risk of metastasis and death in trials compared to no surgery. This is a topic of much debate centered on the fact that while effective if done properly, it may not be necessary for many men. The benefits appear to accrue to younger men ...Read more

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How are radical prostatectomy done in australia?

How are radical prostatectomy done in australia?

A few approaches.: Most radical prostatectomies in developed countries are done either as open radical prostatectomies or as robotic prostatectomies. Laparoscopic prostatectomy is less frequently performed, and open perineal prostatectomy is mostly no longer performed. Though the relative numbers of each differ from center to center and country to country, these are the surgical approaches available in australia. ...Read more

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Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?

Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?

This is a bit: Too complicated and specific to be dealt with over the internet. Various endos have slightly different regimens for dealing with this problem and you are in kind of a gray area. Check w/your endo for specific recommendations. ...Read more

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Recovery time after surgery to remove renal cyst?

Recovery time after surgery to remove renal cyst?

Depends : On what do you call recovery? Also depends on open vs laporoscopic, age , other medical problems. In healthy adult with laporoscopic surgery 4-7 days. ...Read more

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Does a rising psa after a radical prostatectomy mean cancer?

Does a rising psa after a radical prostatectomy mean cancer?

Yes: This is called psa recurrence. Depending on pathological factors you can predict the chances. Radiation and or hormone ablation are often next treatment steps if surgery was first treatment. ...Read more

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Need expert advice. After radical prostatectomy is there chance for psa rise?

Yes, ...: Some one third after radical prostatectomy(rp) may have "rising psa" over time, which suggests three potential conditions: local recurrence; microscopic spread to nearby tissues, notably regional lns; spread to far sites, such as spine, pelvis, ribs, and lungs. Remember: the report of no metastasis from bone scan and ct before rp does not guarantee no spread in 100% because these tests can not .. ...Read more

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How dangerous is a surgery radical masectomy?

How dangerous is a surgery radical masectomy?

Mostly morbidity: Radical mastectomy removes the whole breast, with (radical) or without (modified radical) the underlying pectoral muscles, and content of the axilla where the lymph nodes lay. While it is not "dangerous" related to risk of dying, it has significant morbidity (complications), such as arm swelling, disfigurement, and nerve damage. You should discuss your options with your surgeon. ...Read more

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What's penile shortening after radical prostatectomy?

What's penile shortening after radical prostatectomy?

From scar tissue: When you remove the prostate you are taking away a piece of the urethra and then sewing it back together. This can cause some scarring which may inhibit penile length for more: www.Peedoc.Com @thepeedoc. ...Read more

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Husband 60 diag w/sm cell bladder cancer in May. 6 rounds of chemo then radical cystectomy last month. It spread to prostate + lymphnodes. Prognosis?

Husband 60 diag w/sm cell bladder cancer in May. 6 rounds of chemo then radical cystectomy last month.  It spread to prostate + lymphnodes. Prognosis?

Bladder CA: Husband 60 diag w/sm cell bladder CA May. 6 rounds chemo then radical cystectomy last month. Spread to prostate/lymphnodes. Prognosis? ANS: This is a nasty cancer & everyone is different. Only his team can give reasonable prognosis & as in most of the real world prediction of the future is tricky esp medicine. There r teams n ur area specializing n this & suspect you are seeing them. Good Luck. ...Read more

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My father had transitional cell carcinoma, high grade ( grade 2) muscle invasive..In 2010. Radical cystoprostetectomy with orthotopic neobladder recon?

My father had transitional cell carcinoma, high grade ( grade 2) muscle invasive..In 2010. Radical cystoprostetectomy with orthotopic neobladder recon?

Proper procedure: When transitional ca of bladder invades the muscle then the standard use of intravesicle chemo and bcg can't be used. Radical cystectomy with neobladder is the standard reconstruction. One has to be careful that nodal involvement to the iliac nodes does not develop. ...Read more

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Dx stage 2B NSCLC 6 months ago, lobectomy. Too late to do adjuvant chemo?

Dx stage 2B NSCLC 6 months ago, lobectomy. Too late to do adjuvant chemo?

Yes: If a 2b lesion has been completely resected with a lobectomy and there is no problem 6 months post surgery the best approach is for careful follow up. Adjuvant radiation for this stage of disease has shown no survival benefit and adjuvant chemo if initiated following surgery has only shown a 5% improvement in survival. ...Read more

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Is prostate surgery the best decision for prostate cancer?

Is prostate surgery the best decision for prostate cancer?

It depends: There are several approaches for the treatment of localized prostate. You have choice. Radiation and surgical removal of the prostate ae the standards of care. You have choice. A discussion with a radiation oncologist and a urologist would be appropriate. ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

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Sex after surgery to remove kidney stone?

Sex after surgery to remove kidney stone?

Depends: What procedure you had, the results and your baseline health will determine when you can return to normal activities, including sex. Ask your surgeon. Stone removal can be done many ways from a minimally invasive cystoscopy to open surgery. ...Read more