Nephropexy

Urology treatment and diseases

Symptomatic nephroptosis, a medical condition caused by the downward displacement of a kidney, can severely affect a person’s quality of life and lead to functional disturbances or obstruction. Fortunately, nephropexy, a surgical procedure, can help reattach the ptotic kidney to its original anatomical site and alleviate these symptoms.

The procedure can be done laparoscopically or with the assistance of a da Vinci Robot, depending on the individual’s needs. If you are experiencing severe nephrotic symptoms and your quality of life has been impacted, speak to your doctor about whether nephropexy might be a viable option for you. It’s important to remember that prompt and proper medical attention can help diagnose and treat such medical conditions effectively, so don’t hesitate to seek out medical assistance if you are experiencing any symptoms that concern you.

Preparation
for Nephropexy

Individuals who are facing the possibility of nephropexy can rest assured that the decision to undergo this procedure is not taken lightly. In fact, there are several factors which must be carefully considered before proceeding. Typically, individuals will only be offered nephropexy if they have a history of nephrotic symptoms which have persisted for a period of three months or more. In addition to this, investigations and imaging studies will be conducted in order to confirm the diagnosis.

It is worth noting that there is not yet a standard set of criteria for determining whether surgical treatment is appropriate for patients with symptomatic nephroptosis. Generally speaking, urologists will only recommend nephropexy if an obstruction or functional change is present, along with a clear link to nephrotic symptoms.

However, recent studies have demonstrated that even in cases where there is no clear evidence of functional change or obstruction, patients who undergo nephropexy can still experience significant improvements in their symptoms. This highlights the potential benefits of this procedure, and underscores the importance of consulting with a qualified medical professional to determine the most appropriate course of action.

Nephropexy
Procedure

When it comes to Nephropexy surgery, the most common method involves fixating the kidney to the fascia of the psoas major or quadratus lumborum muscle using non-absorbable sutures. However, at times, a polyglactin or polypropylene mesh is also used to promote adhesion. Depending on the urologist and specific case, either a transperitoneal or extraperitoneal approach is utilized. For those who opt for a minimally invasive laparoscopic approach, the benefits include lesser post-operative pain, shorter hospital stays, and lower risk of surgical complications. Remarkably, there is a growing number of studies being conducted to evaluate the effectiveness of nephropexy for symptomatic nephroptosis. These studies show high success rates with either complete symptom relief or a marked improvement in symptoms. It’s encouraging to see technology and medical advancements making significant positive impacts in people’s lives.

Benefits
of Nephropexy

Nephropexy surgery is a highly beneficial medical procedure with numerous advantages that make it a popular choice for patients. One of the most significant benefits of this surgical intervention is the complete or significant reduction of nephrotic pain and symptoms, which can have a dramatic improvement on the patient’s quality of life. In addition to this, Nephropexy surgery has been shown to result in a significant improvement in the overall quality of life for patients who undergo it. This is due to the positive impact it has on the urinary tract, with a decrease in the occurrence of haematuria, an improvement in renal arterial blood flow, and a resolution or reduction in urinary tract infections. As such, it is clear that Nephropexy surgery is a highly effective intervention that can significantly improve the health and wellbeing of those who undergo it.