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Nephrectomy Surgery in India

Nephrectomy, often known as kidney removal surgery, is a specialised medical procedure that aims to eliminate a diseased or damaged kidney. With techniques like radical nephrectomy and partial nephrectomy, only the parts of the kidney that are affected are removed, leaving healthy tissue untouched. The urologists from Pristyn Care are well-experienced in handling these surgeries and can guide you through the nephrectomy, ensuring a safe recovery. Book an appointment with our expert urologists for nephrectomy surgery today.

Nephrectomy, often known as kidney removal surgery, is a specialised medical procedure that ... Read More

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What is Nephrectomy?

Nephrectomy refers to the surgical removal of all or part of a kidney. This kidney removal surgery is typically performed when kidney disease has progressed to a stage where it can no longer be controlled with medication or other treatments. Kidney cancer, severe kidney trauma, or a kidney that isn’t functioning properly due to structural defects are common reasons for performing a nephrectomy.

A nephrectomy is performed by a urologist, who specializes in diseases and conditions that affect the urinary system. The goal of the kidney removal surgery is not just to alleviate symptoms but also to enhance your overall health and quality of life. The operation can be done through open surgery involving a larger incision, or through minimally invasive techniques like laparoscopic nephrectomy or robotic-assisted surgery using smaller incisions. The choice of surgical approach depends on factors like the size and location of the tumour, as well as the surgeon’s experience.

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What Are The Types Of Nephrectomy?

Nephrectomy treatment can vary depending on your particular situation and how far along your condition has progressed. There are primarily three different types of this kidney removal surgery:

  • Partial Nephrectomy: In this procedure, only the affected or diseased part of the kidney is extracted leaving behind the healthy tissue. This course of treatment is widely practiced in cases of kidney cancer.
  • Radical Nephrectomy: During this procedure, the entire kidney is taken out along with the surrounding lymph nodes, and adjoining adrenal gland. This method becomes necessary when the cancer has spread more extensively, beyond just the kidney.

Both of these procedures can be performed through traditional open surgery or through minimally invasive techniques such as laparoscopic nephrectomy or robotic-assisted surgery. The choice of surgical approach depends on the size and location of the tumour, as well as the surgeon’s experience.

Diagnosis Before Kidney Removal Surgery

Before your doctor recommends kidney removal surgery (nephrectomy), you may undergo several diagnostic tests to determine if you have kidney cancer or if a tumour is present in your kidneys. These tests include:

  • Computed Tomography (CT) Scan: It employs X-rays to form detailed images of your kidneys and surrounding regions. It can be done with or without a contrast dye, which helps the organs appear more distinct in the images.
  • Magnetic Resonance Imaging (MRI) Scan: MRI provides detailed images without using radiation. Similar to CT scan, MRI can also be performed with or without contrast dye.
  • Ultrasound: This test employs sound waves to produce images of the kidneys and surrounding areas. It’s radiation-free and helps the doctor inspect your kidneys for any abnormalities.

Biopsy: In certain scenarios, your doctor may suggest a biopsy, which involves removing a small piece of your kidney tissue for further examination. However, this is usually not recommended due to possible bleeding risks.

What Is The Procedure For Nephrectomy?

Nephrectomy, commonly known as kidney removal surgery, involves either partial or radical removal of the kidney. Both have distinct processes:

  • Radical Nephrectomy: This operation involves removing the entire kidney along with surrounding fatty tissue and sometimes even nearby lymph nodes. An open radical nephrectomy involves a single large incision in the abdomen whereas laparoscopic nephrectomy and robot-assisted radical nephrectomies use multiple small incisions.
  • Partial Nephrectomy: If only part of your kidney is affected by cancer, your doctor might recommend partial nephrectomy. In this surgery, only the tumour or affected area is removed. Open partial nephrectomies involve a single incision, while laparoscopic nephrectomy and robot-assisted versions work through several small incisions.

The decision on which surgical method to use depends on various factors such as the size and location of the tumour, the patient’s overall health condition, and the surgeon’s expertise.

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Who Is The Right Candidate For Nephrectomy?

The decision to perform a nephrectomy is based on various factors evaluated by your doctor. While each patient’s case is unique, the following criteria can help determine if you are an apt candidate for a nephrectomy:

  • Stage and Type of Cancer: A radical nephrectomy may be considered if you have kidney cancer at an early stage. However, if your cancer has spread outside the kidney, other treatments might be needed before or in addition to nephrectomy.
  • Kidney Function: If your other kidney is healthy and strong enough to take over the function of the removed kidney.

Overall Health Status: Your overall health condition and ability to withstand the surgery is also a determining factor. This includes any existing medical conditions, your age, physical fitness, and more.

What Are The Benefits Of Nephrectomy?

Nephrectomy, also commonly referred to as kidney removal surgery, is a significant surgical procedure with several benefits. Here are some of the major benefits:

  • Disease Management: By removing a diseased, damaged, or cancerous kidney, it aids in preventing the spread of cancer and minimising risk. It is commonly used in cases of kidney cancer or severe kidney damage that non-surgical treatments can’t help.
  • Kidney Donation: Nephrectomy also allows for the removal of a healthy kidney from a donor for transplantation, enabling individuals with severe kidney disease to regain health and lead normal lives.

Preserving Kidney Function: A partial nephrectomy can help preserve kidney function by removing only the diseased portion of the kidney. This is especially beneficial in situations where only part of the kidney is affected.

How To Prepare For Nephrectomy?

Preparing for a nephrectomy requires careful planning and discussions with your urologic surgeon. Here’s how you can prepare for this surgery:

  • Discuss Treatment Options: Thoroughly discuss with your surgeon about the benefits and risks associated with nephrectomy and other potential treatment options.
  • Undergo Tests: If you are donating a kidney, you’ll need to undergo tests to ensure blood type compatibility with the recipient.
  • Physical Examination: A complete physical examination will be required a few weeks before surgery to assess your general health status.
  • Medication Review: Inform your doctor about all medications you are taking, as some may need to be stopped prior to surgery.

Fasting: You will be advised to fast and stop drinking liquids for a period before the operation.

What Are The Recovery Tips and Precactions To Follow After Nephrectomy?

Recovering from a nephrectomy takes time, patience and adherence to instructions provided by your doctor. Here are some vital tips:

  • Hospital Stay: Expect to stay in the hospital for up to 7 days after surgery, depending on your recovery progress.
  • Activity Limits: Avoid strenuous activity or heavy lifting for about 6 weeks as advised by your surgeon.
  • Dietary Restrictions: Follow any dietary restrictions given by your doctor to assist your recovery and avoid complications.
  • Gradual Activity Resumption: As soon as you feel able, gradually resume light, everyday activities to regain strength and speed up your recovery.

Potential Risks Or Complications Associated With Nephrectomy

While nephrectomies are usually successful, they come with certain risks. These might include:

  • Reactions to Anaesthesia: These can range from mild nausea to severe allergic reactions.
  • Post-operative Pneumonia: This lung infection can sometimes occur after surgery.
  • Rare But Serious Problems: In rare instances, other serious complications like kidney failure can occur.
  • Long-term Issues: High blood pressure, protein in urine, and chronic kidney disease are possible long-term complications post-nephrectomy.
  • Surgical Site Complications: Injury to other organs or tissues around the kidney is possible, as is a hernia at the surgical site.

While nephrectomy can effectively treat kidney cancer, disease or injury and enable kidney donation, it requires proper preparation, recovery precautions, and monitoring for complications for a successful outcome.

What Is The Cost Of Nephrectomy In India?

Nephrectomy, or kidney removal surgery, is a critical operation that can significantly enhance a patient’s quality of life. The price of this procedure in India fluctuates between ₹2,50,000 and ₹3,00,000. The specific cost depends on several key factors:

  • Type of Nephrectomy: Depending on whether the surgeon performs an open nephrectomy, a laparoscopic nephrectomy, or a robotic nephrectomy, the costs may differ. Typically, robotic procedures are the most expensive due to the sophisticated technology involved.
  • Patient’s Medical Condition: The complexity of the patient’s condition may affect the surgery’s cost. More severe cases might require additional medication or prolonged hospital stay, therefore escalating the price.
  • Medications: Depending on the patient’s unique medical needs, different types and quantities of medication may be required before and after surgery.

Hospital & Location: Costs may also vary in accordance with the hospital’s reputation and geographic location. Renowned hospitals in metropolitan areas often charge more than smaller hospitals in less urbanised regions.

Is Nephrectomy Covered Under Insurance?

Under most health insurance plans in India, including Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), nephrectomy is covered. This government-sponsored scheme provides up to ₹5 lakhs coverage per family per year for eligible beneficiaries. It covers not only the surgery but also related hospitalisation expenses.

However, it’s crucial for patients to note that insurance policies may vary. Some plans might have exclusions or limitations based on pre-existing conditions or prior authorization requirements. Henceforth, patients should meticulously review their insurance policy details or consult with their insurance provider to comprehend what coverage entails and any potential out-of-pocket expenses they may encounter during a nephrectomy.

FAQ Around Nephrectomy Surgery

How long does it take to perform a nephrectomy?

A typical nephrectomy, or kidney removal surgery, can take anywhere between two to three hours. However, this can vary depending on the complexity of the case and whether you are undergoing a radical nephrectomy (complete kidney removal) or a partial nephrectomy (part of the kidney is removed).

Are there alternatives to nephrectomy for kidney disease treatment?

Yes, depending on the type and stage of kidney disease, alternatives to nephrectomy may include medication, lifestyle changes, dialysis, or kidney transplantation. It’s important to discuss all treatment options with your doctor and understand the nephrectomy meaning before the surgery to make an informed decision.

Can nephrectomy affect my fertility?

In general, a nephrectomy does not affect fertility in men or women. However, if there are complications during surgery or if the surgery involves removing lymph nodes or other structures involved in reproduction, it could potentially impact fertility. Always discuss potential risks with your doctor before the procedure.

How long will I have to stay in the hospital post-nephrectomy?

Most patients are required to stay in the hospital for two to seven days post-surgery. The duration largely depends on factors like your general health condition and the type of nephrectomy performed.

What should I do if I notice any complications after a nephrectomy?

Post-surgery, if you observe any signs of infection like fever, increased pain or swelling around the surgical site, or issues like persistent nausea or vomiting, it is crucial to contact your doctor immediately.

How does the loss of a kidney affect my overall kidney function?

Human bodies are equipped to function normally even with one kidney. Post-nephrectomy, the remaining kidney gradually adapts and takes over the functions of the removed one. Regular check-ups, however, are recommended to monitor kidney function.

Will I need dialysis after nephrectomy?

The need for dialysis after a nephrectomy is very rare, as usually one kidney is enough to maintain normal body functions. However, if both kidneys have been removed or if the remaining kidney isn’t functioning properly, dialysis or a kidney transplant may be necessary.

Are there any lifestyle changes needed after a nephrectomy?

Post nephrectomy, it’s recommended to adopt healthier lifestyle habits which include maintaining a balanced diet, regular exercise, adequate hydration, and refraining from excessive use of alcohol or caffeine. Regular check-ups with your doctor are also necessary to monitor kidney function and overall health.

How soon can I resume work after a nephrectomy?

The recovery period can vary from person to person. Generally, patients can return to work around three to six weeks after surgery. Still, it’s important to consult with your doctor before resuming strenuous activities.

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