Robotic Nephrectomy and Nephroureterectomy
A radical nephrectomy removes the whole kidney, and a nephroureterectomy removes the kidney together with its ureter (drainage tube) and a small cuff of bladder. Both operations can be performed robotically through small keyhole incisions.
When Are They Needed?
Radical nephrectomy – for larger kidney cancers, or tumours in a position where saving part of the kidney is not safe or possible. It is also used for a non-functioning kidney causing problems.
Nephroureterectomy – for urothelial cancers of the kidney lining or ureter (upper tract urothelial carcinoma), where the whole drainage system on that side is at risk.
The Operation
Performed under general anaesthetic
The kidney (and ureter, where needed) is freed and removed through a slightly larger incision once dissection is complete
A urinary catheter is placed and, after nephroureterectomy, usually stays for several days while the bladder heals
Recovery
Hospital stay is typically two to four nights
Avoid heavy lifting for around six weeks
Most people live normally with one healthy kidney; kidney function is monitored over time
After nephroureterectomy, regular cystoscopies are needed, as these cancers can recur in the bladder
Risks
Risks include bleeding, infection, injury to surrounding organs, blood clots, hernia at the extraction site and reduced kidney function.
Dr Samuel Davies, Consultant Urologist and Robotic Surgeon, performs robotic radical nephrectomy and nephroureterectomy in Brisbane. To arrange an appointment, please contact our rooms on 07 3255 0311. A referral from your GP or specialist is needed to claim a Medicare rebate.
This page provides general information only and is not a substitute for an individual consultation. All surgical and medical procedures carry risks. Before proceeding, you should seek advice from an appropriately qualified health practitioner and, if you wish, a second opinion.