Does the adrenal gland need to be removed with kidney cancer surgery?

No. The adrenal gland is a small but very important organ that sits on top of each kidney. During kidney cancer surgery, it has been traditionally removed as part of the surgery to remove the kidney cancer. However, there is a lot of recent data to show that it does not need to be removed with the kidney as long as certain criteria are met such as size of the kidney tumor, location of tumor, etc.
No, but depends. In the older days, it was taught to remove adrenals with kidneys for the treatment of rcc. A lot has change and the adrenal does not need to be removed unless there is or suspected infiltration of an upper pole tumor into the adrenal gland. Then again that would also increase the stage if indeed there is cancer in the ipsilateral adrenal gland.

Related Questions

2012 was diagnosed w/ kidney cancer, had surgery removed 18% of left kidney. Having reoccuring UTI sence im scared could cancer be coming back?

Find out. Uti is relatively common even without the cancer history. Regular follow up of the partial nephrectomy is indicated. Since it was small enough to get out with 18%, I suspect it was thought to be a cure and your surgeon can discuss with you.
Not likely. Recurrent UTI is not necessarily due to your kidney cancer. In fact the two conditions are not related. Since your tumor was probebly quite small when it was removed (in 2012) it is quite unlikely to come back so soon. You should go see your gynecologist or family doctor and ask for their advice as to how to stop the recurring uti...I think they will find you a solution.