Nephroureterectomy

The Procedure

This procedure is performed to remove the kidney (and surrounding fat) for suspected cancer of the inner lining of kidney or ureter. The whole ureter is removed either using a telescope or with a separate incision in the lower abdomen.
Normally, a full general anaesthetic will be used and you will be asleep throughout the procedure. In some patients, the anaesthetist may also use an epidural anaesthetic which improves or minimises pain postoperatively.

The kidney is usually removed using laparoscopic or keyhole technique. A separate incision is usually made in the lower part of the abdomen to enable the lower end of the ureter to be completely removed

A bladder catheter is normally inserted post-operatively, to monitor urine output, and a drainage tube is usually placed through the skin into the bed of the kidney.
Occasionally, it may be necessary to insert a stomach tube if the operation was particularly difficult, to prevent distension of your stomach.

Nephrouterectomy
After the Procedure

After the operation, you may remain in the Special Recovery area of the operating theatres before returning to the ward. You will normally have a drip in your arm.

We will encourage you to mobilise as early as possible and to take fluids or flood as soon as you are able.

The average hospital stay is 5-7 days.

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