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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Nephroptosis Surgery cost in India | $3626 | Single | Patient - 3 days stay in a single room. |
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Nephroptosis Surgery cost in India
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What is Nephropexy?
Nephroptosis is a condition in which one or both kidneys drop into the abdomen when standing up. The kidneys are a set of two bean-shaped organs responsible for filtering waste from the blood and producing urine in the body. They’re located in the abdomen on either side of the spine, just below the rib cage. Nephroptosis may also be called floating kidney, wandering kidney, or renal ptosis. The vast majority of people with nephroptosis doesn’t experience any symptoms and don’t require any treatment. People with severe cases might need a surgery called laparoscopic nephropexy to fasten the kidney in its proper place. However, most cases of nephroptosis are benign and don’t require medical care.
Causes of Nephroptosis
Nephroptosis is a congenital condition, which means you are born with it. Like the other organs, the kidneys are relatively mobile. They can shift normally a couple centimeters without problems. In nephroptosis, however, the kidney or kidneys descend more than five centimeters when moving from a lying-down position to standing up. The exact reason for this is not well understood. It’s believed that the movement of the kidney is related to insufficient support from certain structures or the connective tissue surrounding the kidneys. Nephroptosis is more common in women than in men, particularly in women who are thin.
Symptoms
Most people with nephroptosis have no symptoms at all. In some individuals, symptoms occur when standing and are often relieved when lying down. These symptoms include:
- ✓a sharp side (flank) pain that radiates into the groin
- ✓nausea
- ✓vomiting
- ✓high blood pressure
- ✓an abdominal mass when standing upright
- ✓a weighing feeling in the abdomen
- ✓hematuria (blood in the urine)
- ✓proteinuria (excessive protein in the urine)
- ✓a history of repeated urinary tract infections (UTIs)
Treatment
Nephroptosis is considered a benign condition. Treatment is only recommended in people with symptoms. In the past, weight gain, frequent lying down, abdominal corsets or bandages, and abdominal exercise were recommended to help treat symptoms. Unfortunately, such conservative treatments have shown little success in managing symptoms. They are no longer recommended. Nephroptosis is now treated with a surgical procedure known as laparoscopic nephropexy. It’s important to carefully consider the risks of having surgery. In this procedure, the floating kidney is secured in its normal position. Laparoscopic nephropexy is a minimally invasive modern treatment. It’s done under general anesthesia. The procedure generally takes 45 minutes and requires a hospital stay of two to four days. In the past, nephropexy was a controversial procedure. It was often ineffective and carried a high risk of death. These issues may have been caused by poor diagnosis and because it was done as an open surgery. The procedure was so ineffective, that for some time it was nearly completely abandoned by urologists. The modern version of the procedure is much safer because it’s done laparoscopically. This means the procedure is performed through small incisions with the aid of a camera. Advancements in diagnosis and surgical methodology have also made the surgery much more effective.
Complications
In Dietl crisis, the floating kidney obstructs the ureter, the narrow tube leading from the kidney to the bladder.
This can result in:
- ✓violent flank pain
- ✓nausea
- ✓chills
- ✓tachycardia (fast heart rate)
- ✓low urine output
- ✓hematuria (blood in the urine)
- ✓proteinuria (excessive protein in the urine)
- ✓an enlarged, tender kidney
Dietl crisis is usually resolved by lying down and bringing the knees up into the chest.
People with nephroptosis may also experience frequent UTIs. A UTI is a bacterial, fungal, or viral infection of the urethra, bladder, or kidneys. Symptoms of a UTI in the urethra or bladder include:
- ✓burning with urination
- ✓increased frequency of urination
- ✓bloody urine
- ✓cloudy urine
When the kidneys are involved, UTIs can be life-threatening. Symptoms of UTIs involving the kidneys include:
- ✓pain and tenderness in the upper back and sides
- ✓chills
- ✓fever
- ✓nausea
- ✓vomiting
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Frequently Asked Questions
The indications for laparoscopic nephropexy were renal descent of at least two vertebral bodies and the presence of either two additional objective symptoms or one objective and one subjective symptom.
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