Risks
- Bleeding. Bleeding from the operation site is very rare but if occurs may necessitate a return to theatre.
- Infection. Wound infection is rare but may require a course of oral antibiotics to correct. Bladder infection is quite common as a catheter remains in the bladder for 2 weeks.
- Conversion to open nephrectomy. Occasionally a kidney is more difficult to dissect free than anticipated using the laparoscopic technique and conversion to open approach is required.
- Injury to surrounding structures. The bowel, liver, spleen, adrenal, pancreas, gynaecologic organs and large blood vessels are close to the kidney and ureter and may require repair if injured during the dissection.
- Urine leak. Occasionally the urine can leak between the sutures placed to close the defect in the bladder. Prolonged catheterisation for an extra few weeks will almost always correct this issue.
- Chronic renal impairment. Most people have no trouble living with one kidney but occasionally the remaining kidney can struggle to function adequately and input from a renal physician may be required.
- Hernia. Very occasionally (1%) a hernia can develop at the kidney extraction site which requires correction with a general surgeon.
- Recurrence of cancer. 50% of people undergoing this operation go on to develop cancer recurrence in the bladder. Mr Thyer will check your bladder every 6 months to ensure this is detected quickly and treated.
- There are risks with any general anaesthetic which are very rare including blood clots, heart or lung problems and adverse drug reactions. The anaesthetist will discuss these with you at the time of the procedure.
Follow up
You will require a CT cystogram at 2 weeks to ensure the bladder has healed. If the CT is satisfactory then the catheter can be removed from the bladder usually the same day. Mr Thyer’s rooms will contact you to arrange follow up to check your progress, wounds and pathology 3 weeks following the operation. You should take laxatives, wear compression stockings, drink plenty of water and avoid heavy lifting for 3 weeks following the procedure. You should not drive a motor vehicle until seen by Mr Thyer at the follow up appointment. Mr Thyer will perform flexible cystoscopy every 6 months to ensure there is no recurrence of cancer in the bladder.
Following the procedure, you should contact Mr Thyer if you:
- Have a fever over 38 Degrees
- Feel the catheter is not draining urine
- Have not received a follow up appointment
- You can contact Mr Thyer via his rooms during working hours or after hours via the after hours nurse at Hollywood Hospital on (08) 9346 6000
- You can attend the emergency department at the hospital at which you had your procedure. (Hollywood Private Emergency Department charge a fee for attendance).