Dr. Gaurav Aggarwal

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Nephrouretectomy

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What is Nephrouretectomy ?

Nephrouretectomy is the surgical removal of a kidney and is often performed to treat kidney cancer, severe kidney damage, or for organ donation purposes. The surgery can be partial, removing only the tumor and some surrounding tissue, or radical, which involves complete removal of the affected kidney along with surrounding lymph nodes and fat tissue.

What happens before a Nephrouretectomy?

Before a Nephrouretectomy, the patient undergoes a preoperative assessment, including blood tests and imaging to evaluate the condition. The surgeon reviews the patient’s medical history, medications, and allergies. An anesthesiologist consults with the patient to discuss anesthesia options. The patient is instructed to fast for 8-12 hours before surgery. Antibiotics or other medications may be prescribed, and any current medications might be adjusted.

What happens during a Nephrouretectomy?

During a nephroureterectomy, a surgeon removes the kidney and the ureter (the tube connecting the kidney to the bladder). The procedure begins with general anesthesia to ensure the patient is unconscious and pain-free. The surgeon makes an incision, either open or laparoscopic (minimally invasive), to access the kidney.

What happens after a Nephrouretectomy?

After a Nephrouretectomy patients typically stay in the hospital for monitoring. Pain management is provided, and a urinary catheter may be temporarily used. Vital signs and kidney function are closely observed to ensure stability. Patients are encouraged to gradually resume movement to prevent blood clots. Dietary adjustments may be recommended to reduce kidney strain. Follow-up visits are scheduled to check healing and the function of the remaining kidney.

What are the risks associated with this procedure?

Nephrouretectomy, the removal of a kidney and its ureter, involves several risks. Infection can occur at the incision site or internally, leading to complications. Significant blood loss may arise due to large blood vessels around the kidney and ureter. 

FAQ

Patient Information

Recovery can take several weeks, and most patients can gradually return to their normal activities within a month.mmm

Most patients do not require dialysis after a nephrectomy, but this will depend on their overall kidney function.

Keeping the incision clean and dry is essential, and patients should follow specific instructions provided by their healthcare team.

Yes, many individuals live healthy lives with one kidney, though regular monitoring of kidney function is essential.

Patients will require regular follow-ups to monitor kidney function and any signs of recurrence if the surgery was for cancer.

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