Dr Anup Ramani @ Copyright 2024
By Dr. Anup Ramani
Robotic surgery for kidney cancer has become a preferred option due to its precision and faster recovery times. While the goal of kidney cancer treatment is to remove the tumor and prevent its recurrence, living with one kidney after cancer requires careful attention to long-term health. For individuals who undergo kidney removal, whether due to cancer or another medical condition, maintaining overall health and ensuring the remaining kidney functions optimally are essential for a good quality of life.
In this article, we will explore critical health tips for long-term wellness after kidney cancer surgery and how patients can adjust to life with one kidney. Living with one kidney may present certain challenges, but with the right approach and mindful habits, individuals can lead a fulfilling life. If you are looking for guidance on kidney cancer treatment in Mumbai or seeking a kidney cancer surgeon in India, understanding these key health principles will help you navigate the recovery phase and ensure sustained health.
How to Maintain Kidney Health after Cancer Surgery?
After undergoing kidney removal surgery, also known as a nephrectomy, it is crucial to take steps to support the health of the remaining kidney. After the removal of one kidney, the remaining kidney takes on the full responsibility of filtering waste, balancing fluids and maintaining essential bodily functions. Here are several strategies to help maintain kidney health:
- Stay Hydrated: Hydration plays a vital role in kidney function. Drinking enough water helps the kidney process waste effectively and supports overall kidney health. A general rule is to consume 8-10 cups of water daily, but this may vary based on individual health conditions. It is always best to consult a healthcare provider regarding personalized hydration needs.
- Eat a Kidney-Friendly Diet: A balanced, low-sodium diet rich in fruits, vegetables and proteins supports kidney health. Limiting salt intake helps reduce the burden on the kidneys and prevents unnecessary fluid retention. Foods like berries, leafy greens and omega-3-rich diet are beneficial. Avoiding excess protein may also be advised to reduce kidney strain.
- Exercise Regularly: Regular physical activity improves overall health, reduces the risk of developing high blood pressure (a common risk factor for kidney disease) and helps maintain a healthy weight. Low-impact exercises, such as walking, swimming or yoga, can improve circulation and prevent further complications.
- Monitor Blood Pressure: High blood pressure is one of the leading causes of kidney damage. After kidney cancer treatment, maintaining a healthy blood pressure level is critical for the well-being of the remaining kidney. Regular check-ups and lifestyle adjustments, such as reducing salt intake and managing stress, can help control blood pressure.

What are the Risks of Living with One Kidney?
While many individuals live a healthy life with a single kidney, there are certain risks associated with having only one kidney after cancer. These include:
- Increased Risk of Kidney Disease: Without the protection of two kidneys, there is an elevated risk of kidney disease in the remaining kidney, particularly if high blood pressure, diabetes or dehydration is not properly managed. Patients should monitor kidney function regularly with their healthcare provider.
- Urinary Tract Infections (UTIs): Those with only one kidney may be more susceptible to urinary tract infections. If left untreated, UTIs can cause damage to the remaining kidney. It’s important to recognize the signs of infection early and seek prompt treatment.
- Decreased Kidney Function over Time: The remaining kidney may compensate for the loss of the other, but over time, this compensation can affect its function. Regular monitoring through blood tests and urine analysis will help detect any changes in kidney performance.
- Impact on Physical Activity: Although physical activity is essential for health, excessive exertion may place undue stress on the remaining kidney. It’s important to avoid heavy lifting or strenuous activities that could put unnecessary strain on the body.
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When to Seek Medical Attention after Kidney Cancer Surgery
Regular follow-up visits with a healthcare provider are essential after kidney cancer surgery to ensure the remaining kidney functions optimally and to monitor for any signs of recurrence. However, there are certain signs that may indicate a need for immediate medical attention:
- Swelling in the Legs or Feet: This may indicate fluid retention or kidney dysfunction. If swelling persists or worsens, it is essential to consult a Kidney Cancer Surgeon.
- Pain or Tenderness in the Abdomen or Lower Back: While some discomfort is normal post-surgery, persistent or sharp pain could indicate a problem with the remaining kidney.
- Changes in Urination Patterns: A decrease in urine output, dark-colored urine or pain during urination could be signs of an infection or kidney issues and should be addressed immediately.
- Fatigue or Shortness of Breath: These symptoms may indicate complications with kidney function and seeking medical care is essential to address these concerns.
Where Can You Find the Best Kidney Cancer Treatment in India?
India has become a popular destination for medical tourism, particularly for specialized treatments like kidney cancer surgery. Mumbai, known for its world-class hospitals and renowned kidney cancer surgeons, offers some of the best options for treatment.
- Advanced Robotic Surgery for Kidney Cancer: Robotic surgery for kidney cancer provides several advantages, including minimal scarring, reduced risk of infection, faster recovery and less post-surgical pain. Choosing Dr. Anup Ramani, skilled surgeon in Mumbai who specializes in robotic surgery can enhance the chances of successful treatment.
- Highly Qualified Surgeons: India is home to some of the leading kidney cancer surgeons. When searching for a kidney cancer surgeon in India, it’s important to select a doctor who is experienced in robotic surgical techniques to ensure the best possible outcome.
- Affordable Treatment Options: Kidney cancer treatment in India is often more affordable compared to other countries, without compromising the quality of care. This makes it an attractive option for individuals seeking high-quality medical care at a fraction of the cost.
What Lifestyle Changes Can Support Long-Term Wellness After Kidney Cancer Surgery?
Living with one kidney after cancer requires making mindful lifestyle changes that promote overall health and well-being. Here are some practical tips:
- Quit Smoking: Smoking is a known risk factor for kidney cancer recurrence. If you smoke, quitting is one of the most important steps you can take to support your kidney and overall health.
- Limit Alcohol Consumption: Excessive alcohol can put strain on the liver and kidneys. Limiting alcohol intake to moderate levels can prevent unnecessary stress on the remaining kidney.
- Maintain a Healthy Weight: Being overweight or obese can increase the risk of kidney disease and complications. A balanced diet combined with regular exercise can help achieve and maintain a healthy weight.
- Stress Management: Chronic stress can affect your overall health and immune system, potentially leading to complications. Practices such as meditation, deep breathing exercises and mindfulness can help manage stress effectively.
Conclusion
Living with one kidney after kidney cancer surgery requires a proactive approach to maintain long-term health and wellness. By adopting a kidney-friendly diet, staying hydrated, exercising regularly and monitoring kidney function, individuals can reduce the risk of complications and lead a fulfilling life. It is essential to stay in touch with your healthcare provider for regular check-ups and to seek medical attention if any concerning symptoms arise.
By following these health tips and being mindful of lifestyle changes, those living with one kidney after cancer can experience a healthy and active life. When considering kidney cancer treatment in Mumbai or seeking a kidney cancer surgeon in India, selecting an experienced and skilled medical professional is key to achieving optimal results. With the right care and attention, living with one kidney after cancer can be manageable, allowing for long-term wellness and quality of life.
FAQs
Can I live a normal life with one kidney after cancer?
Yes, many individuals live healthy, normal lives with one kidney after cancer. It’s important to follow a kidney-friendly lifestyle, stay hydrated, eat a balanced diet and attend regular follow-up appointments with a healthcare provider.
How often should I monitor kidney function after kidney cancer surgery?
After kidney cancer surgery, it is recommended to monitor kidney function regularly. Typically, patients undergo routine blood tests and urine analysis during follow-up visits, which may occur every 3-6 months depending on individual health.
What are the signs that my remaining kidney is not functioning properly?
Signs of kidney dysfunction may include swelling in the legs, changes in urination patterns, persistent pain in the abdomen or lower back and fatigue. If any of these symptoms occur, it’s important to consult a healthcare provider immediately.
Is robotic surgery a safe option for kidney cancer treatment?
Yes, robotic surgery is a safe and effective option for kidney cancer treatment. It offers the advantages of precision, minimal scarring and faster recovery compared to traditional open surgery.
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- Partial penectomy is done in cases where glans and distal penis is involved with carcinoma.
- Partial penectomy is a type of organ-preserving surgery. Preservation of sexual and micturational function depends on the surgical dissection and reconstruction of residual urethra.
- Patients who develop stones in the kidney or ureter, often experience severe pain.
- This condition usually needs a procedure to remove the kidney stones.
- This procedure is called ureteroscopy and is performed very commonly.
- It does not require any cuts and hence it is painless.
- The procedure is performed with an endoscope inserted through the penis under spinal anesthesia.
- The scope is inserted through the penis into the kidney and stones are dissolved with a laser.
- The procedure takes about 40-50 minutes.
- A catheter (urine pipe) is kept after the procedure to drain the bladder. A stent is kept in the kidney at the same time.
- Patient is mobile and walking in the room the same evening.
- Hospital stay is one night and patient is discharged the next day after removal of the catheter.
- Patient has to come back after six weeks to remove the stent in the kidney.
- Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
- We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
- Men with an enlarged prostate, which is a normal ageing changes, often experiencing difficulty passing urine. This condition usually needs a procedure to trim the prostate and relieve the blockage.
- This procedure is called TURP and is performed very commonly.
- It does not require any cuts and hence it is painless.
- The procedure is performed with an endoscope inserted through the penis under spinal anaesthesia.
- The overgrown prostate is dissolved with a laser bloodlessly.
- The procedure takes about 40 minutes.
- A catheter (urine pipe) is kept after the procedure to drain the bladder.
- Patient is mobile and walking in the room the same evening.
- Hospital stay is two nights and patient is discharged with the catheter, which is removed after 4 days.
- Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
- We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
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Robotic adrenalectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
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Once the anesthesia is done, and patient positioned, three micro cuts (3mm each) are made in the patient’s abdomen.
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The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
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Dr. Ramani then sits in the controlling console to perform the surgery.
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On an average, a robotic adrenalectomy takes one hour.
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The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
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A urine catheter and bag to drain the bladder is inserted during surgery.
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A tiny drain pipe may be inserted in the surgical side of the abdomen, connected to a bag.
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Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
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The drain pipe, if kept, is removed in the room on day 2 after surgery.
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The catheter is removed on day two after surgery.
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Total hospital stay for robotic adrenalectomy is 4 nights (including night before surgery).
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Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home. Almost all patients are back to work within 2 weeks of surgery.
Heavy activities like running, weight lifting can be resumed after a month
Follow up after an adrenalectomy is in the form of CT scans, once a year for 5 years.
Local patients usually meet Dr. Ramani after two weeks to discuss report.Outstation patients are counselled on a phone consultation.
- Dr. Ramani is one of the very few surgeons in India who has the expertise to perform a robotic surgery for bladder cancer, which includes removing the urinary bladder and reconstructing a new bladder robotically.
- Robotic radical cystectomy is an extremely sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
- Once the anaesthesia is done, and patient positioned, six micro cuts (3mm each) are made in the patient’s abdomen.
- The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
- Dr. Ramani then sits in the controlling console to perform the surgery.
- On an average, a robotic radical cystectomy with an ileal conduit takes 3-4 hours.
- The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
- A urine catheter and bag to drain the new bladder is inserted during surgery.
- Two tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
- Patient is kept nil-by-mouth for 4 days after surgery with IV supplementation of patient’s daily requirements of calories, fats, carbohydrates, proteins and electrolytes.
- The drain pipes are removed in the room on day 3-5 after surgery.
- Total hospital stay for radical cystectomy is 8 nights (including night before surgery).
- Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
- On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
- Almost all patients are back to work within 6 weeks of surgery. Heavy activities like running, weight lifting can be resumed after two months.
Follow up after a radical a cystectomy is in the form of CT scans, once a year for 5 years.
Histopathology report: Local patients usually meet Dr. Ramani after two weeks to discuss report.
Outstation patients are counselled on a phone consult. Depending on the report, patient may or may not need chemotherapy after surgery.
If chemo is needed, patients may choose to get it done with a medical oncologist of their choice or avail the services of one of the four medical oncologists on our team.
- Robotic partial nephrectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications. Robotic radical (total) nephrectomy is
- relatively easier but still requires significant experience to consistently deliver results.
- Once the anaesthesia is done, and patient positioned, five micro cuts (3mm each) are made in the patient’s abdomen.
- The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
- Dr. Ramani then sits in the controlling console to perform the surgery.
- On an average, a robotic radical nephrectomy takes one hour and a robotic partial nephrectomy takes about an hour and half.
- The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
- A urine catheter and bag to drain the bladder is inserted during surgery.
- A tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
- Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
- The drain pipe is removed in the room on day 3 after surgery. The catheter is removed on day two after surgery.
- Total hospital stay for radical/partial nephrectomy is 4 nights (including night before surgery).
- Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
- On the day of discharge, patient is totally self- sufficient.
- They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
- Almost all patients are back to work within 2-3 weeks of surgery.
- Heavy activities like running, weight lifting can be resumed after a month.
- Follow up after a radical/partial Nephrectomy is in the form of CT scans, once a year for 5 years.
- Local patients usually meet Dr. Ramani after two weeks to discuss report.
- Outstation patients are counselled on a phone consultation.