Doctor insights on:
Recovery After Radical Nephrectomy Kidney Removal
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
Here are some...: Generally speaking, NSAIDs is known to affect renal function, but dose-related; so, it is okay to use them but surely within or less than recommended dose. Besides, multiple factors may contribute to renal damage like hypertension, diabetes, certain antibiotics, etc. Hence, just let your doctor know you have only one kidney. Then you can work well with doc to heighten kidney protection. Best... ...Read more
See below: After removal of one kidney, the other kidney manages to continue working at roughly half the total rate, and over time if it was healthy to begin with may take over extra 15-20% function. ...Read more
Generally narcotics: But can be as little as a necessary. ...Read more
Your surgeon can exp:
Your treating surgeon will explain the procedure.
There are more than one ways to operate and remove a kidney. It can be an open surgery or more modern surgery done through laparascopic methods which is minimaly invasive surgery. Kidney can be removed completely or only partially if the tumor is small.
So all of these issues can be and should be explained by your doctor if you ask. ...Read more
Husband's renogram report says relative uptake 39% and poor relative function with obstruction in right kidney. Does it mean kidney removal?
Yes or not...:
Nuclear diuretic renal scan is used to roughly assess the percentage of total function contributed from each kidney so to decide if worthwhile to remove a severely damaged kidney or to decide and plan to remove a kidney with cancer which could not be managed with trans-ureteroscopic approach. If such a kidney is removed, possible dialysis may be required. So, ask surgeon for detailing...
Best... ...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
What is normal for bun and creatinine post kidney removal? My grandfather's bun: 28 and creatinine: 2.05. He is 3 weeks post surgery.
No exact answer. But: This value ofcreatinine of 2 after removal of one kidney is not normal. It should be closer to 1.0 or so. However, if grandfather is in his seventies and about 160-170 pounds, his kidney function is near 50% or so. In his age group, his kidney function should be near 70% or so. He has probably an aging of his kidneys beyond his actual age. Need to ask his doc about reason. Hi blood pressure? ...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
Yes: But I would be cautious about drinking that much on a daily basis for other reasons, especially if you are a woman. Your liver takes a hit every time you drink, and also alcohol is a high calorie source with no nutritional value. I would drink no more than one glass of wine daily if you are a woman, two if you are a man, to get the cardiovascular benefit of red wine but avoid the risks. ...Read more
Yes: Ureteral stents frequently used in urology to relieve obstruction most often related to kidney stones and their treatment and less often for cancerous-related or other causes of ureteral blockage. Usually temporary, but occasionally long-term requiring periodic exchange. Often associated with "variable" degree of discomfort and urinary symptoms. No harm at all in having sex with stent in place. ...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
Husband has mid ureteric stone and moderate hydronephrosis. Is it bad? Does that mean kidney removal? Left kidney functioning normal.
No need to remove: Kidney. The stone will either pass or it will not. This largely depends on size. In general, stones less than 5 mm in size should be given an opportunity to pass. Patients can be advised that stones less than 4 mm in size generally pass within one to two weeks. Larger stones may need help from a urologist. ...Read more
Bleeding urine (micro) after 9 months ago kidney removal (cancer). 62 yrs male. Is that normal? PET scan normal waiting for cystoscopy, very worried..
My husband had kidney removal surgery with the laser on thursday he is now having very bad cramping in his pelvis area like a woman is that normal?
If sepsis is a bacteria in the bloodstream can it happen when you have a blood transfusion or kidney removal or how does sepsis get in the blood?
See below: Bacterial sepsis from transfusion is a recognized complication from transfusions and tends to occur from transfusion of platelets or less commonly from red cell transfusion. It is more likely to happen from platelets as they are stored at room temperature where the bacteria can multiply. It is a serious reaction but luckily is uncommon in most centers. It certainly does not imply negligence. ...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?
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
All the types of kidney cancer requires total nephrectomy??? Or it's depending on the aggressiveness and grade and size of the cancer??
Here are some...: How much kidney tissue needs to be removed, totally or partially, chiefly depends on the size and location of the tumor, which contribute to if the mass could be successfully removed with renal tissue preservation. Of course, professional experience and proficiency with updated thought and skill are important for the care. So, ask the surgeon to see how and what he/she may thing. ...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
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
Floating kidney very low in abdomen and some pain. What can be done for my friend? Had nephrectomy (or opperatian) 10 years ago, now loose again.
You must be wrong: Friend's kidney was removed if s/he had a nephrectomy. Friend possibly had a nephropexy, which is a very controversial procedure. Friend should consult a reputable urologist to diagnose cause of pain. Kidneys do not become loose after 10 years. Friend might have an obstruction problem or else pain might have a non-renal etiology. ...Read more
If I had a nephrectomy due to renal dysplasia, but was told my remaining kidney was healthy, how often should I get my kidney checked?
Infrequently: Prognosis for normal health + life span is excellent. Solitary remaining kidney will provided more function than you need as has undergone so called compensatory hypertrophy. Avoui xs animal protein or added salt in diet. (good advice for everyone) annual blood pressure check and biannual blood creatinine check should more than suffice and can be performed by your primary health care physician. ...Read more
Severe but discontinuous pain in right kidney (had left nephrectomy 3 mnt ago)& back of the place of operation. Taking 2 cetamol500mg. Reason & cure plz?
May be... and...: Do you mean severe sharp but intermittent pain? The expected post-operative pain in the incision will usually &gradually fades within 2-4 weeks although that in few may last and linger to a highly variable duration. But if the pain after incisional pain described is intermittent, sharp, unpredictable, or physically related, one needs to think about possible nerve entrapment-related pain. Ask doc. ...Read more
Diagnosed with kidney cncr and had a partial nephrectomy 6 days ago sent home with jp drain and catheter if they find urine in my drain what's next?
Left kidney nephrectomy. After 3 months, pain in the place of operation at night and sudden jerk in left leg (like current shock).Is it normal?
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