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Medical Treatments

Radical Nephroureterectomy

Radical nephroureterectomy is a surgery used to treat severe conditions, often cancer, in the kidney and ureter. The procedure involves removing the entire kidney, which is the organ that filters blood to produce urine. Along with the kidney, the surgeon also removes the ureter, which is the tube that carries urine from the kidney to the bladder. Sometimes, a part of the bladder may also be removed if the cancer has spread to that area. Before the surgery, doctors perform various tests to ensure the procedure is proper.

The surgery is usually done under general anesthesia, so the patient is asleep and pain-free. The operation can be done through a large incision in the abdomen or through smaller incisions using a method called laparoscopy. After the surgery, patients will need time to recover, including a few days in the hospital. Pain and discomfort are joint but can be managed with medication. The recovery time varies from person to person but typically involves a few weeks of rest.

Following the surgery, regular check-ups are essential to monitor for any signs of cancer recurrence or other complications. This surgery is often a crucial step in treating cancers of the kidney or ureter, and it can significantly improve the patient's quality of life if the tumor is successfully managed.
 

Signs & Symptoms

 People who may need a radical nephroureterectomy often have symptoms related to kidney or ureter cancer, including:

  • Blood in urine: Urine may appear pink, red, or brown.
  • Pain: Discomfort in the lower back or side.
  • Frequent urination: A need to urinate more often than usual.
  • Painful urination: Discomfort or burning sensation while urinating.
  • Weight loss: Unexplained weight loss.
  • Fatigue: Feeling unusually tired or weak.
Causes

Radical nephroureterectomy is usually performed for:

  • Kidney cancer: Cancer affecting the kidney.
  • Ureter cancer: Cancer affecting the ureter.
  • Certain other conditions: Severe infections or injuries that other means cannot treat.
When to seek medical attention?

You should seek medical attention if you experience:

  • Persistent pain in the back or side that doesn't go away.
  • Blood in the urine.
  • Severe or worsening symptoms of urinary problems.
  • Symptoms of infection include fever and chills.
Diagnostics & Tests

Before a radical nephroureterectomy, doctors may use various tests to diagnose and assess the condition:
Imaging tests:

  • CT scan: Provides detailed images of the kidneys and ureters.
  • Ultrasound: Uses sound waves to create images of the kidneys.
  • MRI: Offers detailed photos, especially if the CT scan results are unclear.
  • Cystoscopy: A procedure using a thin tube with a camera to look inside the bladder and ureter.
  • Biopsy: Taking a small sample of tissue to test for cancer.
Do’s & Don’ts

Do's:

  • Follow doctor's instructions: Adhere to the care plan provided by your healthcare team.
  • Stay hydrated: Drink plenty of fluids to help with recovery.
  • Monitor for complications: Watch for signs of infection or unusual symptoms and report them to your doctor.
  • Gradually increase activity: Start with light activities and increase as tolerated.
  • Attend follow-up appointments: Regular visits to check your recovery progress.

Don'ts:

  • Avoid strenuous activities: Heavy lifting or intense exercise can hinder recovery.
  • Don't ignore symptoms: Any unusual pain, fever, or other symptoms should be reported immediately.
  • Avoid smoking and alcohol: These can impede healing and recovery.
  • Don't skip medications: Take all prescribed medications as directed.

 

NOTE:

Our medical content authors have diligently gathered and synthesized information on this topic to offer valuable insights to our readers. Drawing from a range of reputable medical journals and health resources, this content aims to enhance understanding of the subject. It's important to remember that while this information is informative, it should not replace personalized consultation or treatment from a qualified physician. For further details, please refer to our Editorial Policy.

For this topic, our authors used some of the following resources:

  1. Cleveland Clinic | Nephroureterectomy: Purpose, Procedure, Risks & Recovery
  2. National Institutes of Health (NIH) (.gov) | Oncologic outcomes of radical nephroureterectomy (RNU)
  3. ScienceDirect | Nephroureterectomy
  4. National Institutes of Health (NIH) (.gov) | The nephroureterectomy
  5. Journal of Urology | LAPAROSCOPIC RADICAL NEPHROURETERECTOMY


 

Frequently Asked Questions For Radical Nephroureterectomy

Yes, it is a major surgical procedure with a significant recovery period.

Recovery time varies but generally involves several weeks. Full recovery can take a few months.

Most people do not need dialysis after a radical nephroureterectomy unless both kidneys are affected or pre-existing kidney function is poor.

Possible long-term effects include changes in urine flow, potential need for further treatment, or lifestyle adjustments.

Many people return to their normal activities and quality of life after recovery. However, there may be some adjustments depending on the extent of the surgery and any other underlying health conditions.

Postoperative pain is managed with medications, and discomfort typically subsides in a few weeks.

While effective, there’s a risk of recurrence, necessitating regular monitoring.

Yes, many surgeons use laparoscopic or robotic techniques for minimally invasive surgery.

Best Hospitals in Radical Nephroureterectomy

Explore All Hospitals in Radical Nephroureterectomy
BLK-MAX Super Specialty Hospital, Delhi – State-of-the-art medical facility
BLK-MAX Super Specialty Hospital

Pusa Road, Radha Soami Satsang, Rajendra Place New Delhi, 110005 India

Accord Superspeciality Hospital, a leading healthcare facility in Faridabad, offering advanced treatments with modern infrastructure.
Accord Superspeciality Hospital

Budena Village, Sector 86, Faridabad, Haryana 121002, India

High-tech medical equipment at Artemis Hospital, Gurgaon, ensuring accurate diagnostics and advanced treatment solutions.
Artemis Hospital

Artemis Hospitals Sector 51, Gurugram 122001 Haryana, India

SHALBY Sanar International Hospital, Gurugram – trusted healthcare destination for global patients via VivaVel.com
SHALBY Sanar International Hospitals, Gurugram

Golf Course Rd, Parsvnath Exotica, DLF Phase 5, Sector 53, Gurugram, Haryana Gurgaon, 122022 India

PARAS Health, Gurugram – top multispecialty hospital for international patients via VivaVel.com
PARAS Health, Gurugram

C-1, Sushant Lok- 1, Sector-43, Phase- I, Gurugram, Haryana, 122002

High-end cardiac and orthopedic surgery at Max Hospital Dehradun – trusted by overseas patients with VivaVel.com support
Max Super Speciality Hospital, Dehradun

Mussoorie, Diversion Road, Dehradun, Uttarakhand 248001

Top Doctors in Radical Nephroureterectomy

Explore All Doctors in Radical Nephroureterectomy
Jitendra Kumar
  • Dr. Jitendra Kumar
  • Chairman
  • Nephrology And Kidney Transplant Surgery
  • 30 Years Experience
  • Accord Superspeciality Hospital

Dr. Jitendra Kumar is a famous name in nephrology and is renowned as the top kidney specialist in Faridabad, India. He completed his DM (Nephrology) at the Sanjay Gan...

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Ajit Singh Narula
  • Dr. Ajit Singh Narula
  • Principal Director Nephrology
  • Nephrology | Organ Transplant | Kidney T...
  • 40 Years Experience
  • Fortis Escorts Heart Institute

Dr. Narula has received numerous prestigious awards, including the Air Marshal Ajit Nath Award, Maj Gen Amir Chand Award, Chief of Naval Staff Award, Best Officer Award, and ...

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Sanjeev Gulati
  • Dr. Sanjeev Gulati
  • Senior Consultant
  • Nephrology | Organ Transplant | Kidney T...
  • 31 Years Experience
  • Fortis Escorts Heart Institute

Dr. Sanjeev Gulati is an Executive Director in the Department of Nephrology & Kidney Transplant and previously worked as an Additional Professor in Nephrology at Sanjay G...

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Paresh Jain
  • Dr. Paresh Jain
  • Director Urology
  • Urology | Organ Transplant | Kidney Tran...
  • 16 Years Experience
  • Fortis Escorts Heart Institute

Dr. Paresh Jain is the director of urology and has over 16 years of rich experience. He specializes in Laparoscopic Urology, Endourology - URS, PCNL, RIRS, TURP, Lase...

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Akash Gupta
  • Dr. Akash Gupta
  • Associate Consultant
  • Nephrologist | Renal Specialist
  • 12 Years Experience
  • Fortis Escorts Heart Institute

Dr. Akash Gupta is a renowned nephrologist and kidney transplant specialist in New Delhi. He is an Associate Consultant in Nephrology at Escort Fortis and brings over...

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Sonal Dalal
  • Dr. Sonal Dalal
  • Director
  • Nephrology And Kidney Transplant Surgery
  • 26 Years Experience
  • Sterling Hospital, Ahmedabad

Dr. Sonal Dalal is a highly respected nephrologist in Ahmedabad. She is renowned for her extensive experience and expertise in kidney-related ailments. She se...

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