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In addition to surgical approaches, adjuvant therapy and targeted therapy are included in the treatment of metastatic renal cell carcinoma. [ 9 ] Localised disease Localised RCCs are best mana...
The treatment options range from surveillance to nephrectomy. Prognosis The long-term prognosis of true orthostatic proteinuria is excellent.
Removal of kidney and ureteric calculi. Nephrectomy. [ 6 ] Vascular Stenting carotid and renal arteries. Repair of thoracic and abdominal aneurysms. [ 4 ] Varicose veins.
Editor's note Dr Krishna Vakharia , 21st October 2022 NICE has recommended that a medication called pembrolizumab can be used with routine surveillance after...
Surgery may involve removing the whole of the affected kidney (nephrectomy). However, as much normal healthy kidney as possible is left in place (preserved), especially for bilateral Wilms...
In severe cases of recurrent renal stones, partial nephrectomy may be required. Rarely, total nephrectomy may be necessary in cases of severe recurrent sepsis.
For smaller tumours, nephron-sparing surgery can preserve renal tissue, to prevent or delay the need for nephrectomy. Pancreatic tumours Present at the average age of 35 years. ...
Management of Wilms' tumour [ 7 ] For most patients, nephrectomy followed by chemotherapy (regimes include vincristine, dactinomycin and doxorubicin, sometimes with additional cyc...
Valve ablation or vesicostomy may relieve pressure from an obstructive posterior urethral valve, reducing the hydronephrosis, with consequent improvement in renal function [ 11 ] . Nephrectomy...
Surgical Cessation of pulmonary haemorrhage has been described after bilateral nephrectomy. Renal transplantation has been used and, although there are immunoglobulin G (IgG) depos...
Where there is end-stage disease, nephrectomy may be indicated. Haematuria Treat renal colic with adequate analgesia.
Rarely, unilateral or bilateral nephrectomy if massive kidney enlargement impairs movement of the diaphragm. Neonates with oliguria or anuria may require peritoneal dialysis within the fir...
Small kidneys also have small renal arteries and are associated with hypertension requiring nephrectomy. Segmental renal hypoplasia, also known as the Ask-Upmark kidney, is associated with...