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Acute renal failure after hysterectomy becuase of uterine cancer. Is this normal after a hysterectomy? Problems after surgery, dec 2011, mother 62, now renal failure. Kidney doctor found blockage causing the kidneys to fail.

3 doctors weighed in
Dr. John Fung
Surgery
1 doctor agrees

In brief: Assuming

Assuming that your mother did not have chronic renal disease going into surgery, then the prognosis for recovery of kidney function will depend on the reason for the acute injury.
Most often acute renal failure is due to a period of low blood pressure, where there is not enough blood pressure to perfuse the kidney which results in something called acute tubular necrosis. There are varying degrees of this, which should improve once the blood pressure stabilizes, in some cases, hemodialysis may be necessary to support the kidney until this recovers. Another potential cause though, particularly in uterine surgery, is injury to the ureters, sometimes due to the extent of the tumor or difficulty in removing the uterus. As you mention that the kidney doctor said a blockage was found, this may be a contributing factor, but usually is known prior to surgery. Other causes (unlikely here) may relate to drug toxicities, for example antibiotics or chemotherapy related. In general, if the patient goes into surgery with good kidney function, the prognosis for recovery is good once all the inciting factors are removed.

In brief: Assuming

Assuming that your mother did not have chronic renal disease going into surgery, then the prognosis for recovery of kidney function will depend on the reason for the acute injury.
Most often acute renal failure is due to a period of low blood pressure, where there is not enough blood pressure to perfuse the kidney which results in something called acute tubular necrosis. There are varying degrees of this, which should improve once the blood pressure stabilizes, in some cases, hemodialysis may be necessary to support the kidney until this recovers. Another potential cause though, particularly in uterine surgery, is injury to the ureters, sometimes due to the extent of the tumor or difficulty in removing the uterus. As you mention that the kidney doctor said a blockage was found, this may be a contributing factor, but usually is known prior to surgery. Other causes (unlikely here) may relate to drug toxicities, for example antibiotics or chemotherapy related. In general, if the patient goes into surgery with good kidney function, the prognosis for recovery is good once all the inciting factors are removed.
Dr. John Fung
Dr. John Fung
Thank
Dr. Rex Mahnensmith
Internal Medicine

In brief: Acute kidney failure

This is not normal.
The occurrence of kidney failure after surgery with blockage suggests that a suture or scar or recurrent cancer tissue has damaged ureters.

In brief: Acute kidney failure

This is not normal.
The occurrence of kidney failure after surgery with blockage suggests that a suture or scar or recurrent cancer tissue has damaged ureters.
Dr. Rex Mahnensmith
Dr. Rex Mahnensmith
Thank
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