Nephroureterectomy

Nephroureterectomy is a surgical procedure that involves the removal of a kidney and the ureter. This procedure is typically performed to treat urothelial carcinoma of the upper urinary tract.

Indications

Nephroureterectomy is primarily indicated for the treatment of transitional cell carcinoma of the renal pelvis and ureter. It may also be performed in cases of benign conditions such as long-standing hydronephrosis, tuberculosis, and chronic pyelonephritis.

Procedure

The procedure involves the removal of the kidney, the entire ureter, and a cuff of the bladder where the ureter enters. This can be performed through an open, laparoscopic, or robotic approach. The choice of approach depends on the surgeon's expertise, the patient's condition, and the location and stage of the disease.

Complications

As with any surgical procedure, nephroureterectomy carries potential risks and complications. These may include bleeding, infection, injury to surrounding organs, and complications related to anesthesia. Long-term complications may include impaired kidney function and the potential for recurrence of cancer.

Prognosis

The prognosis following nephroureterectomy largely depends on the stage and grade of the tumor at the time of surgery. Early-stage and low-grade tumors have a better prognosis compared to advanced-stage and high-grade tumors.

See also

• Kidney removal
• Ureter
• Urothelial carcinoma
• Transitional cell carcinoma

Nephroureterectomy Resources
Latest articles Most recent articles Ongoing trials	Wikipedia