What is included in the long-term monitoring following a partial nephrectomy nephron-sparing surgery (NSS)?

Updated: Apr 01, 2019
  • Author: Reza Ghavamian, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

After NSS, patients are advised to return in 4-6 weeks for serum creatinine measurement and intravenous pyelography. In the absence of obstruction, the patient should undergo CT scanning every 6 months for 2 years and then yearly for the next 5 years, after which, the frequency is decreased to every 2 years. Chest radiography and measurements of serum calcium, alkaline phosphatase, liver function tests, and creatinine are obtained yearly for the initial 5 years and biannually thereafter. Some advocate the frequency of postoperative evaluation as dictated by the initial tumor stage, with less rigorous structured follow-up for low-stage, small tumors.


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