Any surgical intervention requires preparation which may vary depending on each individual. It is essential that you follow the recommendations given to you by your urologist and your anesthesiologist. If these recommendations are not followed, the intervention could be postponed. In view of the intervention, certain examinations may be prescribed (ultrasound, smear, urodynamic assessment, MRI, etc.) An anesthesia consultation must take place a few days before the intervention. You will be asked to perform a urine analysis a few days before the procedure (ECBU).
In the event of infection, intervention is deferred until the urine is sterilized.
The procedure is carried out under general anesthesia. It can be performed laparoscopically with or without robotic assistance. In the operating room, you are placed flat on your back. A urinary catheter is placed at the start of the procedure.
The time for removal of the urinary catheter is defined by your surgeon. Resumption of intestinal transit (gas) usually occurs within the first 48 hours. However, constipation can bother you for a few days and continue if you are prone to this problem. You may then be prescribed a laxative treatment. The length of hospitalization is usually a few days. A convalescence is expected. Its duration is adapted to the work you do. You should refrain from exercise, sports, carrying heavy loads, taking baths and having penetrative sex for approximately 1 month.
A follow-up consultation with your urologist is planned a few weeks after the procedure. This decides on the possibility of resuming all your activities, particularly sporting activities. You must avoid violent efforts in the 3 months following the procedure. Sexuality By replacing the descended organs in the correct position, the intervention most often allows you to improve your sexuality. On the other hand, the quality of intercourse can rarely be altered by pain and vaginal lubrication problems. You may be prescribed treatment to improve these local phenomena.
Healing Laparoscopic surgery involves one or more incisions of varying size. These incisions are not only areas of weakness, but also possible entry points for infection. It is therefore necessary to ensure good local hygiene. If the scar becomes red, hot or if it is raised, it is important to show this scar to your surgeon without urgency: it may be a hematoma or an abscess. The skin heals over several days. During this period, a little bleeding may occur which can be stopped by compressing it with a compress or a clean cloth. The removal of the wires or staples is carried out by a nurse at home following the medical discharge prescription. Disunion of the skin can sometimes occur. If this opening is superficial, you simply have to wait for it to close; the closing time can reach several weeks (especially in diabetic patients or those on corticosteroid treatment).
On the other hand, in the event of a feeling of deep cracking or deep disunity, it is necessary to consult your surgeon quickly. You will be able to resume normal activity but violent efforts and carrying heavy loads (greater than 5 kg) are prohibited for 3 months. Your usual sporting activities will need to be interrupted for 1 to 3 months depending on the type of sport and its intensity.
Cycling and motorcycling is also not recommended for 1 month. You must absolutely avoid constipation so as not to have to strain to have a bowel movement. Transit-facilitating treatment is often necessary for several weeks. You will need to avoid baths, penetrative sex and periodic tampons for six weeks following the procedure.
When showering, you can wash the skin incisions with your usual soap. Be sure to dry them by dabbing or hairdrying to avoid any maceration. Tobacco and malnutrition slow down healing. Post-operative fever The occurrence of a fever after the treatment of genital prolapse
Any surgical intervention requires preparation which may vary depending on each individual. It is essential that you follow the recommendations given to you by your urologist and your anesthesiologist. If these recommendations are not followed, the intervention could be postponed. Before each surgical procedure, a pre-operative anesthesia consultation is mandatory. It is imperative to inform your urologist and the anesthesiologist of your medical, surgical and allergic history and your current treatments, in particular oral or injectable anticoagulants or antiplatelet agents (aspirin, clopidogrel, anti-vitamin K, etc.). Their use increases the risk of bleeding during the procedure.
This treatment may be adapted and possibly modified before the intervention. A urine analysis may be carried out beforehand.
The procedure takes place in several stages under general anesthesia. Removal of the kidney and the ureter up to contact with the bladder Several approaches provide access to the kidney:
To monitor the proper functioning of the remaining kidney and prevent you from having urinary difficulties upon waking up, a urinary catheter may be placed during the procedure. This probe may be responsible for discomfort. In certain cases, the stomach is suctioned through a small probe exiting through a nostril, in order to avoid vomiting, a source of pain in the scar and respiratory complications.
Post-operative pain is managed by administering analgesics. A catheter can be placed in the scar to reduce the pain in the first few hours. Removal of the drain(s) and urinary catheter is defined by the surgeon. The length of hospitalization varies and a convalescence of a few weeks is necessary.
You will discuss with your surgeon the date of resuming your activities and the follow-up after the operation. After the procedure, you are advised to avoid any significant effort or movement in the first month following the procedure. Prescriptions given upon discharge may include treatment as well as the daily injection of an anticoagulant. Maintaining anticoagulant treatment is necessary after your hospitalization to prevent the risk of phlebitis. Wearing compression stockings may be desirable for at least 10 days after the procedure.
A letter is sent to your attending physician to keep him informed of your state of health. The duration of convalescence and the date of return to work or normal physical activity depend on your physical condition and the procedure performed. You will discuss with your urologist the date of resuming your activities and the follow-up after the operation. A post-operative consultation is scheduled with your urologist to inform you of the results of the microscopic examination of your kidney tumor. PRECAUTIONS Prevention of phlebitis and pulmonary embolism Bed rest and lack of movement of the lower limbs promote venous stasis. Pain in one leg, a feeling of heaviness or a reduction in tossing of the calf should suggest phlebitis.
It is therefore necessary to consult a doctor urgently. In order to avoid the occurrence of phlebitis, it is advisable to follow the recommendations: regular and frequent contractions of the calves, movements of the feet, elevation of the legs and, following your doctor’s prescription, wearing compression stockings. In the event of chest pain, side stitches, cough or shortness of breath, it is necessary to consult urgently because these signs can be revealed.
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