In the body of a healthy person, two kidneys function. The main task of this paired organ is to filter the blood from end-metabolic products, as well as remove them along with urine. Due to various circumstances, a person may have only one bean-shaped organ left, and then a reasonable question arises - “how to live with one kidney?”
You can lose a vital organ for three reasons:
- congenital defect of genetic development;
- during surgery to remove a malignant kidney tumor;
- as a result of the transfer of a donor organ to a recipient.
People of any age can experience organ loss. In some cases, a person is already born with a developmental defect, so only one bean-shaped organ functions in his body. Such congenital anomalies include:
- the presence of only one fully developed kidney – aplasia;
- the complete absence of one paired organ is agenesis.
Compression of the kidney, injury, and impaired urine output over a long period of time can have serious consequences, such as death of a large area of kidney tissue or rupture of a vital organ. In such cases, the patient is indicated for nephrectomy.
To compensate for the absence of the second bean-shaped organ, the remaining kidney begins to grow rapidly and increases in size. This feature is called restorative or compensatory. The functionality of the kidney can increase up to 45%, so its performance is not inferior to two paired organs.
Removal of one paired organ does not affect life expectancy if the person does not have concomitant severe diseases, for example, chronic renal failure
Do I need to change my diet after a nephrectomy?
Nutrition after kidney removal usually does not require major adjustments. Basic principles of diet after kidney removal:
Which doctor checks your kidneys?
- Alcohol and drinks containing caffeine should be avoided;
- You need to introduce more complex and simple carbohydrates into your diet, for example, rye bread and apples;
- you cannot eat rich broths and meat gravies;
- It is recommended to replace animal protein with milk protein;
- You cannot consume table salt in unlimited quantities;
- meals should be fractional, it is better to eat at least 4 times a day;
- It is advisable to reduce the daily amount of fluid to 1 liter in order to avoid additional stress on the only kidney;
- the menu should be diversified with cereals, vegetables and fruits;
- It is recommended to avoid consuming store-bought juices, carbonated and energy drinks (it is best to drink weak tea, berry fruit drinks and clean water);
- dairy products must contain a low percentage of fat or be low-fat;
- It is better to exclude sweets, smoked foods and products that have a long shelf life from the menu.
A diet after kidney removal involves limiting protein products, since the breakdown of this organic compound results in the formation of toxins, which the kidneys are responsible for removing.
If one of the consequences of nephrectomy is an increase in blood pressure, the daily amount of sodium should be reduced to 2 g
The patient's diet should not be low-calorie or meager. It is best to serve boiled, stewed or steamed dishes at the table.
Where do gallstones come from?
Liver bile is a special liquid that resembles plasma in its composition. It has such important components as water, cholesterol, bilirubin and bile acids. While these components are in balance with each other, this liquid promotes the binding of fats with water and their breakdown, the absorption of fatty acids and cholesterol in the intestines, prevents the development of putrefactive processes in the final sections of the digestive tract, stimulates its peristalsis (unidirectional contractions in order to promote the food bolus) .
If the secretion of cholesterol into bile increases or the concentration of bile acids decreases, as well as the contractility of the gallbladder (GB), stagnation and crystallization of its contents occur with the formation of large and small stones.
Predisposing factors to stone formation and the development of cholecystitis are:
Proper nutrition and an active lifestyle are excellent prevention of stone formation
Why are regular checkups important?
The condition of the body that is observed in the patient after nephrectomy determines whether it is possible to live with one kidney. The health of the remaining bean-shaped organ must be monitored especially carefully. Having lost the only functioning kidney, a person will not be able to live further.
After a complex operation, changes begin to occur in the body, which over time can result in serious pathologies. Among them are:
- Proteinuria. Protein present in urine indicates kidney disease. In people who have undergone nephrectomy, analysis often shows the presence of protein in the urine;
- Increase in blood pressure. One of the functions of the bean-shaped organ is to maintain blood pressure at the proper level. Normalization of blood pressure occurs due to the regulation of circulating blood volume, as well as the production of the hormone renin, which, together with other hormones, has a constricting and dilating effect on blood vessels. The loss of one kidney may be accompanied by a violation of these functions, resulting in arterial hypertension;
- Decreased glomerular filtration rate. Its indicator determines the efficiency of removing end-metabolic products from the blood. Each bean-shaped organ consists of approximately 1 million nephrons, which are riddled with blood vessels and tubes that collect urine. After the removal of one paired organ, the glomerular filtration rate inevitably drops.
How the operation is performed
Many patients are interested in how long the kidney surgery (laparoscopy) lasts. On average, the intervention takes from two to three hours when removing a tumor, up to an hour when removing a cyst.
The patient is under general anesthesia throughout all procedures. To install instruments and create a surgical field, the surgeon makes incisions 5-10 mm long. Trocars and other instruments are installed in them.
Thanks to high-quality optical equipment, a specialist can clearly determine the site of resection and remove the tumor along with part of the unchanged tissue. The removed tissue is evacuated through a small incision. Subsequently, they are sent for histological examination, which makes it possible to establish the type of tumor and prescribe adequate therapy.
After laparoscopic resection of the kidney, the parenchyma is sutured in such a way that the organ is restored within 2-3 weeks. If the operation is performed correctly, MSCT and ultrasound do not show scars.
What studies will tell us about the condition of the kidneys?
Special test strips are used to detect protein in urine. A change in their color when interacting with urine indicates the presence or absence of this organic compound in the urine.
To diagnose kidney disease, a test showing the ratio of creatinine (the end product of metabolism) to protein is also necessary. The level of creatinine in urine is the most important indicator of the functional capacity of the bean-shaped organ. An increase in the ratio of albumin to 1 g of creatinine means that protein that should remain in the blood is lost. The end product of the creatine phosphate reaction also indicates the glomerular filtration rate. If it does not exceed 60, the patient has chronic renal pathology.
Ultrasound examination will also tell you about the presence or absence of structural changes in the bean-shaped organ. In interpreting ultrasound results, both homogeneous formations and heterogeneous contents may be encountered. For example, a malignant process is characterized by a heterogeneous structure and the presence of areas with reduced and increased echo density. Thus, a malignant tumor is heterogeneous. If the ultrasound transcripts include other terms, we may be talking about a renal cyst or lipoma. An accurate diagnosis can only be made by a specialist with good equipment and high qualifications.
Treatment in Israel. Without intermediaries. Rambam Hospital. Renal pelvis cancer. Keytruda. Review.
So, yesterday we received feedback about the start of treatment at the Rambam Hospital, which is located in the hero city of Haifa. This is the second real review about treatment in Israel without intermediaries, which can be published without a twinge of conscience. The first one, let me remind you, was here: Treatment of melanoma. In Israel. Without intermediaries. I really hope that this story will be useful and informative, and especially its possible continuation. A few words about the Rambam Hospital: frankly speaking, I don’t even have a couple of sentences. This hospital is so far from the places of my adventures that I never thought about it, although I was passing through Haifa in 2011 and I even had a chance to eat in a restaurant called “Only Meat” at the foot of the Bahai Gardens, but this happened too late. in the evening and I didn’t even really see the city. Also, I have a short review about the Rambam Hospital in the form of a comment that was sent to me in December 2013. I could not confirm its authenticity and that is why it is still stored in my SPAM section.
In general, here it is:
Review of treatment at Rambam Hospital
25.05.2015
Vadik, good afternoon!
I decided to write to you in the hope that my information and experience can help someone! My story would probably be very long, so I’ll try to cut down on emotions and write to the point. My disease was discovered in June 2014 . Sudden gross hematuria (blood in the urine) like a bolt from the blue. Urgent hospitalization (06/25/14) by ambulance straight from work. First, I was taken to City Clinical Hospital No. 29, where they diagnosed cystitis , assuring me that after five days of antibiotic injections I would be home. Thanks to my work colleagues, on the same day I was transported to the Central Clinical Hospital of the Presidential Affairs Department (Timoshenko St.). For half a month the doctors were at a loss as to what was wrong with me. It was decided to perform an exploratory operation under general anesthesia - urethropyeloscopy.
The operation performed on July 14, 2014 showed the presence of a tumor in the pelvis of the right kidney , but a biopsy taken from it at the same time did not reveal the presence of malignancy. Since a tumor of the renal pelvis is fundamentally different from a kidney tumor (in terms of signs and treatment methods), in the case of a renal pelvis, regardless of the malignancy of the tumor or its absence, the entire kidney is automatically removed, i.e. resection (partial removal) is not possible.
Accordingly, on 08/05/14 an operation was performed to remove the kidney (nephrectomy). Histology showed that this is a malignant tumor (T3N0M0). After the operation, the professor who operated and the attending physician assured me that I did not need chemotherapy, so the operation was done on time. After being discharged, I checked this information at the local oncology clinic, where they also confirmed to me that I did not need chemotherapy.
A follow-up examination at the same hospital in November 2014 revealed a bladder tumor . I went in for surgery (at the Central Clinical Hospital). A TUR (transurethral resection) of the bladder was performed . Histology showed malignancy (T1N0M0). After this, I was prescribed intravesical chemotherapy (doxirubicin). I will not describe this horror, those who know will understand what I mean.
Further…
A follow-up examination in February 2015 (all in the same Central Clinical Hospital) revealed multiple different-sized formations of a secondary nature in the lungs and multiple different-sized formations of a secondary nature in the abdominal cavity - metastases. A council of professors from this hospital decided to carry out systemic chemotherapy (gemzar, carboplatin). I completed 3 courses (6 droppers), after which the control examination revealed the progression of the disease, that is, nothing helped.
Parallel multiple consultations at Herzen with different professors predicted an unfavorable outcome, although they also unanimously stated that the therapy was prescribed adequately and they would have been prescribed the same drugs in the first line.
After that, I decided to go to Israel . Having read the Internet, including your website, which by the way is one of the few adequate ones, I started writing to the clinics directly, and I also wrote to intermediaries. In the end, from many options, among which there were those who did not want to take me for treatment at all, citing an unfavorable outcome (2 clinics in Germany), the Rambam clinic in Haifa was selected. I don’t write about hopes, fears, collecting money from the whole world and a bunch of all kinds of emotions... Now I’m in Israel for the second week... My daughter and I arrived on 05/17/15. We bought our own one-way plane tickets (of course it turned out more expensive), because we didn’t expect exactly how long we’d be staying, and now I don’t regret it, because the length of stay shifted by 5 days due to one holiday that we didn’t know about and a queue for an ultrasound of the heart (1 Week).
Accommodation (5 minutes walk to the hospital and 3 minutes to the beach) was ordered independently via the Internet (apartment $93 per day). We got from the airport on our own by train (1.5 hours). We chose the train because the meeting at the airport that was offered to us at the hospital cost $170, and the train cost me and my daughter $26. The first consultation with the oncologist ($400) confirmed the impossibility of the operation for me and other treatment methods, which I assumed, since I read a lot and everyone I consulted warned me about this. Blood tests were taken (general, biochemistry and tumor marker CAA $19.9 - $150). And an ultrasound of the heart was prescribed ($400) to understand “whether the heart can withstand it.” That is, in my option, I was offered chemotherapy (a course of 6 droppers, 400,000 rubles), with a selection of drugs (targeted block analysis costing $20,460) and the second option was Keytruda . At this stage, while we are waiting for an ultrasound of the heart, my daughter and I are making a decision about which treatment option we should choose.
Next, I will write to you about what exactly we chose and how the treatment will proceed...
Best regards, Natalie.
*************************
Like this. Another very sad story. And in fact, this is not yet a review of treatment in Israel, but a story about treatment in our country.
Thank you so much to Natalya for your story. Let's wait for the continuation. I would really like something positive!
And yet, if you read various articles about melanoma, almost every one begins with the words “melanoma is the most aggressive tumor.” It seems to me that the above type of cancer, judging by the speed of spread, is no less aggressive.
Of course, I quickly found Natalya on the Internet and wrote a letter.
Natasha, I greet you!
I don’t know if you’re a Komsomol member, but you’re just a beauty, that’s for sure.
Everything will be fine with you!
Thanks for the story! I will publish it soon.
Tell me, what is the more precise name for this analysis for $20 thousand? I've just never even heard of this.
Keytruda is a very “interesting” option (if I can use such a word here). Although it was originally developed for the treatment of melanoma, as I understand it, in Israel they have now begun to use it for both lung cancer and urology.
But here, of course, doctors must decide.
Write!
28.05.2015
Vadim, good afternoon! I'm glad you answered me) Thanks for the compliment
This analysis consists of two: - Target now (you can look it up on the internet, Uncle Vadik’s note) - I don’t know exactly how it’s spelled, but it sounds (Fundation)
The cost is $20,460 for these two studies...
Yesterday, 05/27/15, I was given Keytruda ... I feel fine. The doctor warned that there may be side effects in the form of a rash, headaches, cough, but after the first dropper it is unlikely. They are expecting me in three weeks, the next introduction is 06/17/15...
Yes, exactly, in my case, for metastases to the lungs and peritoneum. I asked if I could go to them for clinical trials, but, unfortunately, the doctor said that if I were a citizen of Israel, then yes. And since I am a foreign citizen, then only for money (((
Thank you for your good deed! Unfortunately, we, patients, have very little information about our diseases. Oncologists, doctors, surgeons do not like to be asked questions and all the doctors who “treated” me always ran away from me because they never had answers to my questions. And I’m tired of hearing the phrase “well, you ask such questions.” By the way, oncologist Valeria Semenisti, who treats me, also said this phrase when I asked about how long the effect of the treatment will last, provided that Keytruda gives a positive answer. Therefore, you are a great fellow for helping people in this way!!! For example, I looked a lot for information on cancer of the renal pelvis, but unfortunately I never found it ((And my professor directly told me that there is very little clinical information on your disease (cancer of the renal pelvis)!!!
*************
So, in principle, I had no doubt that the doctor would choose Keytruda - judging by my observations, Israeli doctors really “believed” in Anti PD-1 and are now starting to use Opdivo and Keytruda “right and left.” At least for the treatment of melanoma, only these drugs are now prescribed, this is the first.
Secondly, clinical trials are free for everyone (i.e. the drug itself is given for free), another thing is that:
a) you need to pay for examinations
b) When a drug begins to be actively sold, new studies do not begin. For what? The interaction of the drug with other drugs may be studied, but these are isolated cases.
Third: specifically regarding the “Keytruda/Renal pelvic cancer” combination, the doctor really has no answers, because the use is just beginning.
Fourth: It seems to me that this expensive analysis is relevant only when there is a real choice of treatment methods. In this case it would be completely meaningless.
And finally, here is the photo sent in the letter (since they sent it to me personally, I put my own label on the photo):
Continuation…
02.06.2015
Natalya, hello!
Thank you for the report! I certainly really hope that Keytruda will help you. In general, I noticed that “all of Israel” is switching to Keytruda and Opdivo right before our eyes. And the list of diseases is expanding. This happens for a reason. So everything will be fine, especially since I saw that you have such powerful financial and moral support! Tail only with a pistol!
Vadik, thank you! I am not discouraged, I try to cheer up!
Regarding the cost of Keytruda , if you need information, here it is: The cost of Keytruda treatment is calculated by weight. 2 mg is used per 1 kg of weight.
My weight is 57 kg, respectively 2 * 57 = 114 mg. The package contains 50 mg. That is, I need 3 packs.
Each package costs 15,500 shekels (211,000 rubles). The doctor said that you can buy two packages and thereby save 15,500 shekels and that this will not affect the process. Of course, I was happy about this opportunity to save 211 thousand. In general, it turned out that we paid for two packages (422,000 rubles). We also bought the medicine ourselves at a pharmacy in Haifa, so as not to overpay the hospital markup. Plus, we got a Tax free refund at the airport of $1,132, which I was very happy about.
Thank God the kind Russian-speaking pharmacy sellers told us everything and filled out all the necessary paperwork. That is, in fact, the cost of one Keytruda procedure for me was about 363,000 rubles. (these conversions have already completely confused me))). At least 6 such injections are performed. But we agreed with the doctor that we would give 2 or 3 droppers of Keytruda and see the result; if there is no result, then we “leave” Keytruda and do Target now + Fundation to prescribe chemotherapy. Plus, we paid $700 for me to lie on a chair for 2 hours during the procedure. Return tickets cost us 18,000, because... bought at the last moment, again due to ignorance of the timing. Now we are trained and experienced). Now, having met the owner, we will rent the apartment for $60 per day. Tickets, because Now we know the dates and dates of stay we will book in advance. In the end, we stayed there for exactly two weeks. Next trip for the next (2nd) procedure on June 15 for a week.
Addendum dated 07/06/2015
At the end of June, I “whispered in Natalya’s ear the names of two Moscow hospitals, in which, according to people’s stories, you can drip Israeli “chemistry” and generally use imported treatment protocols.
Good evening Vadim! Thanks for the tip! I’ll definitely call them, I was going to find out the cost of instilling the medicine here... I’ve already made an appointment with them))) Then I’ll write what and how.. By the way, I saw an interesting ad from them... Consultation On July 3-4 at the European clinic, a world-famous Israeli will conduct a consultation specialist in oncology treatment - Professor Ofer Merimsky .
Well, here's yesterday:
Hello Vadim! Yesterday I was in the hospital! You can actually get Keytruda there! I’m checking the price for the drug now; administering an IV costs 20,000 rubles). Below I copied the review from the sites, I just don’t have time to write again, sorry. Correct/add there if there is anything from yourself)))
News from the front) Yesterday I had a consultation with the world-famous oncologist Ofer Merimsky (He is the head of the department for the treatment of bone and soft tissue tumors at the Ichilov Hospital in Tel Aviv). He came to Moscow and conducted paid consultations in one of the Moscow clinics. I came across it completely by accident, I was monitoring the websites of clinics providing cancer care and came across it. The consultation lasted 1 hour and cost 30,000 rubles .. I am satisfied with the consultation! Although he didn’t tell us anything new, he nevertheless very correctly described the process of my treatment before Israel and said that mistakes were made in the treatment, which is why everything is so complicated now.
He said that the treatment we chose in Israel, Keytruda, was correct and he agreed with him and we felt better because we suffered for a week with our daughter and didn’t know what to choose, Keytruda or chemotherapy, we were afraid to make a mistake, but in the end it turns out we chose the right one.
The only thing he disagrees with is the method of tracking the result of treatment and that it should not be a tumor marker, which is not indicative, but PET CT. He said that there is a chance to prolong life as much as possible. He also suggested not to travel to Israel but to take Keytruda here in this clinic, despite the fact that the drug is not registered in the Russian Federation, and thereby save on flights. I am checking the cost of treatment here now. He also refuted Reshetov’s proposal (our Russian luminary, with whom I consulted at Herzen) to perform surgery on the peritoneum, subject to the reduction of tumors in the lungs. He categorically rejected this and said that in my case it was impossible. We had two translators with whom the doctor communicated in Hebrew and English. But I understood almost everything, sometimes asked questions in English and was really pleased with my, although not very, knowledge. Still, I know him a little))) I was very pleased with myself)))
I received an answer from the clinics regarding the cost of carrying out Keytruda with them:
“I just didn’t know your weight, I assumed that you needed about 100 mg. So it turns out that if you weigh 55 kg, then 2 bottles of 50 mg = 660,000 rubles.
The procedure (about 20,000 rubles) will include blood sampling, installation of an infusion system (dropper, i.e. the procedure itself), and premedication.
Prof. Merimsky says that it costs them about $1,500 in Israel (to perform) + the cost of the drug.”
Thus, it turns out that the cost is twice as expensive and even taking into account the flight, buying the drug there and administering it is half the price!!!
Natasha, greetings!
Thank you very much for the “reconnaissance in force”! Before this, I tried to publish our clinics in the form of “stars”, because... I was afraid that this matter might somehow have a bad effect on their relationship with the state (after all, drugs that are not registered in our country, let alone “drip”, cannot be imported), but now, at your “suggestion,” I read detailed the hospital’s website and saw that they do it all completely “fearlessly.”
Now I’ll create a post with detailed recommendations for buying “there” and treating “here”. The savings are certainly real.
And thanks for Merimsky (Mirimsky, because I don’t understand how to spell it correctly)!
Tune yourself not to “extension”, but to victory! Now Keytruda , then they’ll come up with something else.
ZY I first wrote everything, but then I finally changed my mind about indicating the name of the Moscow hospital. It’s still better to solve such things “on request”.
Addendum dated 07/17/2015
Hi Vadim! You know, I don’t really want to go to ***** right now, in any case, only if I can’t fly to Israel, then maybe I’ll contact them, but not before, they really upset me with their prices (((And about posting information about them, you’re probably right, because it’s really not clear under what rights they import this drug here, and to be honest, I generally have doubts about whether they really bring the necessary medicine here, because in our country there can be anything that whatever, and I have concerns that you will pay for Keytruda and they will inject you with a vitamin.
Well, news after the trip: And now we have returned from the third trip, inspired and in a good mood! This time we flew for only 3 days, because we decided that we were pretty fed up with Israel with its heat, cockroaches in the rooms and housing prices, which are now very expensive and we can only rent a hotel, and that’s on the brink. And there’s a problem with plane tickets. With the condition that we buy tickets three weeks in advance, the tickets cost us 45,000 rubles. (for two there and back). And for the 4th trip we have now bought 56,000. This is just a nightmare!!! Although in May we flew for 27,000 rubles. This time we very quickly took blood tests: general blood tests, tumor markers and thyroid tests. And the next day there was a consultation with an oncologist and an IV. The doctor examined me and said that the tumor, which could be felt at the site of the postoperative scar, had decreased! Of course, we still need to do a PET CT scan, which will only be done on the 5th trip, but even to the touch it has become smaller! Well, the increased break between taking painkillers from 6 to 12 hours speaks for itself!!! So your common prayers and experiences make me feel better! And I really believe that this result will only improve and consolidate! While I was on a drip, I started talking to a local resident in English. He asked me where I was from, what brought me to Rambam and was very surprised that in Moscow!!! They can’t help me... And then he said that I need to bring ***** to their hospital (the name of this person cannot be mentioned in vain. Note Uncle Vadik), so that he could learn from the experience of treatment for his citizens))) And so... .
Attached is the report: $700 - cost of the IV and consultation with an oncologist (now included in the cost of the IV); $100 – tests: general, tumor marker and thyroid; 30,503 shekels - Keytruda minus $1,139 tax free refund $332 - accommodation 45,000 rubles. — plane tickets (for two people there and back)
A little clarification is required here.
Unlike the evil Israeli speculators, who do not “increase” anything on the sale of drugs (the official pharmacy price is always taken), and in the case of Nivolumab (Opdivo) they also try to offer the lowest price, our doctors try to “squeeze out” everything to the maximum and, as it turned out, the price of Keytruda when purchased through Moscow clinics almost doubles. As a result, a trip to Israel and “dig” there turns out to be cheaper than going to a clinic in Moscow. This is surrealism, of course. On the other hand, the procedure itself costs almost 2 times less ($700 versus 20,000 rubles).
Therefore, if you buy the drug in Israel and undergo treatment in Moscow, the savings will of course be significant (for Muscovites and nearby villages).
Something similar, I hope:
- Treatment in Israel. Intermediaries. Hospitals...
- Treatment of melanoma. In Israel. Without intermediaries...
- Treatment of melanoma. News. Keytruda and combinations
- Treatment of melanoma. Keytruda. Story. Photo. Prices
- Treatment of melanoma in Israel Review
- Treatment in Israel. Feedback-addition
- Treatment in Israel. Mole removal. Review.
- Treatment in Israel. Review and a couple of tips.
In what cases is a doctor needed?
After the patient is discharged from the hospital, the rehabilitation process takes place at home. If the following undesirable manifestations occur, an urgent examination by a doctor is necessary:
- bleeding and discharge from the operated area;
- swelling, redness and increasing pain;
- causeless weakness;
- difficulty urinating;
- nausea or vomiting;
- general signs of infection, fever or chills;
- shortness of breath and chest pain.
Some people prefer herbal medicine to medication. Patients who have undergone nephrectomy should understand that no folk remedy can bring back a lost organ. Self-medication with herbal remedies can negatively affect not only the remaining kidney, but also the general condition of the body. Any actions must be coordinated with your doctor.
To prevent possible complications, you should avoid hypothermia and promptly eliminate foci of acute and chronic inflammation (for example, tonsillitis, sore throat, caries)
Reviews
There are many positive reviews about laparoscopy. If the rules were followed, many women managed to become pregnant six months to a year after the therapy, which clearly indicates the effectiveness of the surgical intervention. But here it is also important not to abandon conservative treatment with hormones.
Some patients noted that they underwent hysteroscopy in conjunction with laparoscopy. During this procedure, not only the fallopian tubes were cleaned, but polyps were also removed. This did not affect the rehabilitation period, which took only 3-5 days.
Patients with cholecystitis noted that with the help of such surgical intervention they reduced the rehabilitation period to five days, while avoiding the risk of developing possible complications (hernias during strip surgery).
But there are also patients who are dissatisfied with the laparoscopy performed. In most cases, these are women who treated the adhesive process with surgery. At the same time, the spikes did not become smaller, but even larger. Here everything depends not only on the right clinic, but also on the qualifications of the specialist and the individual anatomical characteristics of the female body.
Pregnancy after nephrectomy
Today, many women cannot experience the happiness of motherhood, because there are restrictions that prevent them from bearing a healthy baby.
The absence of one bean-shaped organ is not a direct contraindication to pregnancy. When planning childbearing, the expectant mother who has undergone nephrectomy must undergo a comprehensive diagnosis of the body. If the only kidney functions fully and there are no pathologies associated with the removal of the organ, a woman can carry and give birth to a fully developed child without any problems.
Some people are missing one bean-shaped organ from birth. Often the pathological condition is not accompanied by symptoms, so a person may not suspect the presence of a congenital anomaly for a long time
Advantages of manipulation
This minimal surgical intervention has a number of advantages, which is noted by both specialists and patients. That is why the method is so in demand in modern medical and diagnostic practice.
Advantages of laparoscopy surgery, according to patient reviews:
- almost invisible incisions on the abdomen and the absence of rough scars;
- minimal risk of developing adhesions;
- the operation and the rehabilitation period after are short when compared with conventional surgery;
- minimal risk of infection in internal organs;
- minor blood loss;
- possibility of carrying out as treatment and diagnostics;
- The accuracy of diagnosis is close to 100%.
Treatment of infertility using the laparoscopic method means a high chance that a woman’s ability to conceive will be restored. Most often, it is pathologies in the tubes that lead to the inability to get pregnant. To reduce the risk of complications in the female reproductive organs, many women choose manipulation using a laparoscope.
Reviews of tubal laparoscopy in most cases are associated with the fear of most women that something will go wrong. Some noted that they had been preparing for the operation for several months, but everything went surprisingly well. Simultaneously with laparoscopy, hysteroscopy is also performed if it is necessary to remove polyps, and not just cleaning the pipes.
But if there are pronounced adhesive processes, then even this modern method will not restore reproductive function 100%.
Answers to important questions
“Do they take you into the army after having a kidney removed?” – a pressing question for men who have experienced the loss of a vital organ. If the urinary function after nephrectomy is not impaired and there are no concomitant severe pathologies, the young man is considered liable for military service. In addition, in the absence of chronic renal failure, a person is not entitled to disability.
If the condition of the patient who has undergone surgery does not cause concern, approximately 10 days after the removal of the kidney, he can return to work, of course, if it is not associated with heavy physical activity.
It is not recommended to resume sexual activity for a month after surgery
People who have had a paired organ removed can live a full life and even play sports, with the exception of the first three months after nephrectomy. However, it should be remembered that contact sports, such as football, hockey or martial arts, can pose a serious danger to a person left with one kidney. If the bean-shaped organ is ruptured or severely injured, the patient’s life cannot be saved.
Features of laparoscopy
This type of operation is actively used both in Russia and abroad. Using the method when removing a tumor or cyst allows you to solve one of the important problems - preserving the organ and its functions.
The intervention is performed using a special instrument - a laparoscope. It has a special optical system that allows the surgeon to see the surgical field on the monitor. High image accuracy provides comprehensive information about the condition of the intervention area and helps the surgeon control his actions. The equipment is equipped with high-class optical modules, which allows you to work with locations inaccessible to the human eye and perform minor manipulations. This option is especially relevant for organ-preserving operations. Thanks to precise imaging, the doctor can excise the tumor while preserving as much healthy kidney tissue as possible.
The surgical site is accessed through small incisions in the skin. Instruments are inserted into them and manipulated by the surgeon. This method eliminates the need for abdominal tissue incision, their further stitching and healing, and prevents the formation of adhesions.
