My Nephrectomy Experience and concerns/questions

Hello Everyone

I'm a 47 year old male

This is my first time posting anywhere on the internet regarding kidney cancer and kidney removal (nephrectomy). In september 2021 I was informed after months of pain and tests that i had a mass on my left kidney after an initial ct scan. Around a month later I had another ct scan with contrast which confirmed that I had a 10cm tumour on my left kidney. This was a massive shock to me and had a massive impact on my already bad mental health (my life was turned upside down with fear,anxiety and the unknown). On 6th December 2021 I went to a local hospital for my Nephrectomy (which was a very scary time for me personally). On the day I spoke with the surgeon who would be performing my operation and we discussed the usual risks involved with such a proceedure. I was then visited by my anaesthetist who took me through everything that would happen and also reassured alot of my concerns. I was the first patient of the day so before I knew it I was heading down to the theatre. The operation took around five hours with me in recovery for a further hour. Upon coming round I was naturally in alot of discomfort and pain which was treated with morphine and pain killers. I was kept in the hospital for the next five days with regular tests including the monitoring of urine output via catheter. This was removed on day three (not a pleasant experience!). I was on morphine for around three days after the operation which did help with the pain,although some pain was still involved,especially around the incision areas and shoulder for a few days from the gas used to inflate the areas that the surgeon needed to get to. For the first day or two, I struggled to pass urine and was constipated which is normal. Moving about or trying to sleep was hard work and painful, however once the catheter was removed I was encouraged to get up and walk about (again a slow and painful task). On day 5 I was allowed to go home,which was a relief, however walking involved being hunched over for around a week/week and a half and normal things such as sitting, lying down or doing even very tiny tasks was hard work and my partner had to do alot for me. I am now just over 2 months post op and walking upright and can do more, although I do still have pains around the incision areas,which sometimes seems to travel to different parts of my body (right side,backache,sharp pains around incisions) I would be very grateful to hear from anyone who has or is experiencing any post op pains similar to mine. Or anyone who could possibly advise me on how long this will last. After researching kidney cancer and watching peoples video experiences, the one thing which was and still is happening is extreme fatigue,which to my understanding (after watching these videos) is normal after such an operation and can last for 3-6 months.For myself, the fatigue and insomnia is the hardest part, as it leaves me feeling quite abnormal and useless which plays on my mental health. Fatigue is normal,however my insomnia is down to mental health,stress of the ordeal and uncertainty for the future. On 16th January 2022 I had to return for my follow up and results.I was told that the operation went well and that the cancer(now diagnosed as renal cell carcanoma) had NOT spread to the lymph nodes which was a massive relief and that as far as they were concerned I am now cancer free. However I was also told I was at high risk of this returning and that I will now be monitored every six months. I was then given another ct scan to make sure everything was ok,which came back clear. I hope this will help others in the same position and would also like to hear from people experiencing post op pains and what they have been told or have done about it. Also anyone who has/is experiencing fatigue, I would like to know how you are coping and dealing with this. Finally, anyone who could possibly help to put my mind into a more positive mindset (as my mental health is struggling to allow me to see any positives) would be much appreciated. Even though I have been informed that I am technically cancer-free my consistant worries of it returning are still very much as the forefront on my mind. Anyone who has any questions that may help them or reassure them in some way, please feel free to reply to this post and I'll do what I can to help you.

much love

NonaDave

  • Hi

    Hope you are ok.

    My husband had a 8cm mass in his left kidney.  He was sent back and forth having various test/scans, all which he was told it was nothing sinister/nothing to worry about. After 1.5 years, the MDT decided to remove his kidney as it was growing. On the day of the nephrectomy, we had a chat with the surgeon who explained the risks involved. We asked him what exactly was the mass which they were removing, to be confirm it was stage 4 cancer. We both had the initial shock wave, but no time to express anger at why the hell were we not told about all this beforehand. There really was no time for anything else as he was taken down to theatre for a 5 hour operation.

    My husband was in theatre 9.5 hours (or thereabouts), because the mass was so large! He spent just over a week in hospital, and came home hunched over in a lot of pain with a drain in. He was visited by district nurses who changed his dressings and eventually removed the drain. I did a lot of things for him because his mobility wasn't great.

    When he went for his follow-up, he was told the cancer was contained within the kidney, and did not spread to his lymph nodes. The surgeon managed to remove everything successfully, which was good as he didn't need Chemo or any drugs re cancer. 

    He had fatigue pre op because the kidney was failing and putting strain on the remaining kidney, and he experiences fatigue even more post op, as now the one kidney has to do the work for two. He has been told its normal and to rest when he feels tired, and he does as told. Are you back at work/working?

    All this happened 9 years ago and he has recently retired from work through ill health (other health issues). His mental health suffered initially and he kept feeling sorry for himself because like you, he was petrified it would return. Something snapped one day, and he started mental list in his head reminding him of all the unfinished things he had to complete in his life when he was well enough, and it was this that kept him going. He has since got better, and started his 'list'. This has been a fulfilling distraction and its great to see my once ill and pain stricken husband back to himself again!

    My husband still has pain in the operation site, from time to time (becoming less over time) and has been told it is scar tissue, which is also normal and common with nephrectomies. He no longer has scans and is cancer free. He has been given the all clear, but they still keep an eye on his blood pressure every 6 months to make sure it remains stable since his nephrectomy.

    I hope this brings some comfort for you. Please keep in touch if you think it helps

    Friend x   

  • Hi Friend

    Thank you for sharing your and your husbands expeience.I'm sorry it took them so long to diagnose him,i can relate to this as i was having pains for some time just to be told via telephone (due to doctors not seeing patients face to face) not to worry and it was nothing serious.I kept pushing as i knew deep down that there was "something" not right,you know your own body.

    i'm so glad your husband has got the all clear and has recovered with time.I'm sure my pains are due to still healing and scar tissue,it has only been 8 weeks,although the pains are still a sharp stabbing pain.

    Thank you for the advice on mental health also,all advice is very appriciated.Yes there is alot i would like to do with my partner and once i am back on my feet i will be doing so,and hopefully my mental health will improve over time with some support.

    your post does bring comfort and some reassurance but most of all .... hope :) thank you so much for taking time to reply.

    much love to you both

     

    Dave

  • Hi there I have a slightly different experience of kidney cancer as my son had a wilms tumour when he was 2 1/2. My sons tumour was the size of a cricket ball and had spread just outside the kidney so he was classed as stage 2 . He suffered initially  as his other kidney did not take over as it should from his missing one . He was given medication  and it finally began working properly . He struggled with the chemo and they had to alter doses .My son had very little stamina for a long time . Luckily he had never been a high energy child so he had never known any different .we had a few hiccups here and there over the years but nothing serious . He also had a problem with scar tissue when he got to 16 which gave us a shock and was easily fixed  but other than avoiding contact sports at school he has led a relativley normal life . He is now 26 , he has a full time job and walks a lot .He is still a quiet lad and does still like his sleep .He moved onto 2 yearly checks last year . He has a kidney function test i think its every 5 years now and blood pressure checks he gets called for when required at the gp .

    mental health wise my son has never known any different , he cannot remember much from when he was little thankfully . He does remember going to follow on clinic and obviously he has been told everything as he got older . He did struggle with the no contact sports as he wanted to be like his friends and his siblings but I guess thats like any child tell them no they can't do something and they want to do it even more .

    He once climbed a tree and fell out he got blasted from me and then the hospital blasted him too , he didn't do it again luckily he only had a few bruises .

    I guess what I am trying to say is things do get better and it is possible to live a relatively normal life with one kidney ,but  it does take time to heal , you  have to be a bit more careful than other folk but your body will let you know if you are over doing it . take care all the best .

  • Hi Poppy

    Thank you for your reply and experience with your sons cancer experience. I'm glad to  hear your son is doing well after so long,that is great to hear :) I understand it may have been a different type of kidney cancer,however its nice to hear that a normal life can be had with just one kidney. I find that very reassuring.

    Much love and thanks,

    Dave