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Nephro ureterectomy

What is Nephroureterectomy?

Nephroureterectomy is a procedure performed to remove a kidney and ureter (tubes through which urine passes from the kidney to urinary bladder). The procedure is most commonly performed to treat transitional cell cancer, a tumor of the inner lining of the ureter and kidney.

How is the procedure performed?

Nephroureterectomy is performed under general anesthesia and takes about 3 to 4 hours depending on the complexity of the surgery. During the surgery, you may be given an epidural to maintain post-surgery pain relief and a urinary catheter is inserted to drain urine until you are able to move around after the surgery.

Nephroureterectomy can be performed by the traditional open method, or minimally invasively through laparoscopy or robot-assisted surgery.

Opennephroureterectomy: An incision is made on the side of your abdomen to expose the diseased kidney and ureter. The kidney and ureter are separated from the surrounding tissues and blood supply. The ureter is dissected down to the bladder and both the kidney and ureter are removed. A further incision through the abdomen may be required to remove the entire length of the ureter.

Laparoscopicnephroureterectomy: Your doctor makes four incisions through which a laparoscope (fiber-optic tube attached with a light source and camera) and other surgical instruments are inserted. The kidney and ureter are separated from the surrounding tissues. The ureter is cut down to the bladder. One of the skin incisions is widened to remove the kidney and ureter.

Roboticnephroureterectomy: Your doctor makes five incisions to insert a laparoscope and other surgical instruments that are held by robotic arms. Your doctor controls the robot arms and separates the kidney and ureter from the surrounding tissue and places them in a bag. One of the incisions is widened, and the kidney and ureterare removed intact. The incisions are sutured and bandaged.

What risks and complications are involved?

Like allsurgeries, nephroureterectomy may involve certain risks and complications such as:

  • Bleeding, which may require blood transfusion during the surgery
  • Infection
  • Pain or hernia which may require additional treatment
  • Injury to the nearby organs
  • Cardiovascular problems such as heart attack and stroke
  • Damage of the lung cavity

For further information regarding nephroureterectomy surgery, please contact NMC Urocare at http://www.nmcurocare.ae/contact-us/