Current through Reg. 49, No. 38; September 20, 2024
(a)
Partial nephrectomy (removal of part of the kidney).
(1) Incomplete removal of stone(s) or tumor,
if present.
(2) Blockage of
urine.
(3) Leakage of urine at
surgical site.
(4) Injury to or
loss of the kidney.
(5) Damage to
organs next to kidney.
(b) Radical nephrectomy (removal of kidney
and adrenal gland for cancer).
(1) Loss of the
adrenal gland (gland on top of kidney that makes certain hormones/chemicals the
body needs).
(2) Incomplete removal
of tumor.
(3) Damage to organs next
to kidney.
(c)
Nephrectomy (removal of kidney).
(1)
Incomplete removal of tumor if present.
(2) Damage to organs next to
kidney.
(3) Injury to or loss of
the kidney.
(d)
Nephrolithotomy and pyelolithotomy (removal of kidney stone(s)).
(1) Incomplete removal of stone(s).
(2) Blockage of urine.
(3) Leakage of urine at surgical
site.
(4) Injury or loss of the
kidney.
(5) Damage to organs next
to kidney.
(e)
Pyeloureteroplasty (pyeloplasty or reconstruction of the kidney drainage
system).
(1) Blockage of urine.
(2) Leakage of urine at surgical
site.
(3) Injury to or loss of the
kidney.
(4) Damage to organs next
to kidney.
(f)
Exploration of kidney or perinephric mass.
(1)
Incomplete removal of stone(s) or tumor, if present.
(2) Leakage of urine at surgical
site.
(3) Injury to or loss of the
kidney.
(4) Damage to organs next
to kidney.
(g)
Ureteroplasty (reconstruction of ureter (tube between kidney and bladder)).
(1) Leakage of urine at surgical
site.
(2) Incomplete removal of the
stone or tumor (when applicable).
(3) Blockage of urine.
(4) Damage to organs next to
ureter.
(5) Damage to or loss of
the ureter.
(h)
Ureterolithotomy (surgical removal of stone(s) from ureter (tube between kidney
and bladder)).
(1) Leakage of urine at
surgical site.
(2) Incomplete
removal of stone.
(3) Blockage of
urine.
(4) Damage to organs next to
ureter.
(5) Damage to or loss of
ureter.
(i) Ureterectomy
(partial/complete removal of ureter (tube between kidney and bladder)).
(1) Leakage of urine at surgical
site.
(2) Incomplete removal of
stone.
(3) Blockage of
urine.
(4) Damage to organs next to
ureter.
(j) Ureterolysis
(partial/complete removal of ureter (tube between kidney and bladder from
adjacent tissue)).
(1) Leakage of urine at
surgical site.
(2) Blockage of
urine.
(3) Damage to organs next to
ureter.
(4) Damage to or loss of
ureter.
(k) Ureteral
reimplantation (reinserting ureter (tube between kidney and bladder) into the
bladder).
(1) Leakage of urine at surgical
site.
(2) Blockage of
urine.
(3) Damage to or loss of
ureter.
(4) Backward flow of urine
from bladder into ureter.
(5)
Damage to organs next to ureter.
(l) Prostatectomy (partial or total removal
of prostate).
(1) Leakage of urine at surgical
site.
(2) Blockage of
urine.
(3) Incontinence (difficulty
with control of urine flow).
(4)
Semen passing backward into bladder.
(5) Difficulty with penile erection (possible
with partial and probable with total prostatectomy).
(m) Total cystectomy (removal of bladder).
(1) Probable loss of penile erection and
ejaculation in the male.
(2) Damage
to organs next to bladder.
(3) This
procedure will require an alternate method of urinary drainage.
(n) Radical cystectomy.
(1) Probable loss of penile erection and
ejaculation in the male.
(2) Damage
to organs next to bladder.
(3) This
procedure will require an alternate method of urinary drainage.
(4) Chronic (continuing) swelling of thighs,
legs and feet.
(5) Recurrence or
spread of cancer if present.
(o) Partial cystectomy (partial removal of
bladder).
(1) Leakage of urine at surgical
site.
(2) Incontinence (difficulty
with control of urine flow).
(3)
Backward flow of urine from bladder into ureter (tube between kidney and
bladder).
(4) Blockage of
urine.
(5) Damage to organs next to
bladder.
(p) Urinary
diversion (ileal conduit, colon conduit).
(1)
Blood chemistry abnormalities requiring medication.
(2) Development of stones, strictures or
infection in the kidneys, ureter or bowel (intestine).
(3) Leakage of urine at surgical
site.
(4) This procedure will
require an alternate method of urinary drainage.
(q) Ureterosigmoidostomy (placement of kidney
drainage tubes into the large bowel (intestine)).
(1) Blood chemistry abnormalities requiring
medication.
(2) Development of
stones, strictures or infection in the kidneys, ureter or bowel
(intestine).
(3) Leakage of urine
at surgical site.
(4) Difficulty in
holding urine in the rectum.
(r) Urethroplasty
(construction/reconstruction of drainage tube from bladder).
(1) Leakage of urine at surgical
site.
(2) Stricture formation
(narrowing of urethra (tube from bladder to outside)).
(3) Need for additional surgery.
(s) Percutaneous
nephrostomy/stenting/stone removal.
(1)
Pneumothorax or other pleural complications (collapsed lung or filling of the
chest cavity on the same side with fluid).
(2) Septic shock/bacteremia (infection of the
blood stream with possible shock/severe lowering of blood pressure) when
pyonephrosis (infected urine in the kidney) present.
(3) Bowel (intestinal) injury.
(4) Blood vessel injury with or without
significant bleeding.
(t) Dialysis (technique to replace functions
of kidney and clean blood of toxins).
(1)
Hemodialysis.
(A) Hypotension (low blood
pressure).
(B) Hypertension (high
blood pressure).
(C) Air embolism
(air bubble in blood vessel) resulting in possible death or
paralysis.
(D) Cardiac arrhythmias
(irregular heart rhythms).
(E)
Infections of blood stream, access site, or blood borne (for example: Hepatitis
B, C, or HIV).
(F) Hemorrhage
(severe bleeding as a result of clotting problems or due to disconnection of
the bloodline).
(G) Nausea,
vomiting, cramps, headaches, and mild confusion during and/or temporarily after
dialysis.
(H) Allergic
reactions.
(I) Chemical imbalances
and metabolic disorders (unintended change in blood minerals).
(J) Pyrogenic reactions (fever).
(K) Hemolysis (rupture of red blood
cells).
(L) Graft/fistula damage
including bleeding, aneurysm, formation (ballooning of vessel), clotting
(closure) of graft/fistula.
(2) Peritoneal dialysis.
(A) Infections, including peritonitis
(inflammation or irritation of the tissue lining the inside wall of abdomen and
covering organs), catheter infection and catheter exit site
infection.
(B) Development of
hernias of umbilicus (weakening of abdominal wall or muscle).
(C) Hypertension (high blood
pressure).
(D) Hypotension (low
blood pressure).
(E) Hydrothorax
(fluid in chest cavity).
(F)
Arrhythmia (irregular heart rhythm).
(G) Perforation of the bowel.
(H) Sclerosis or scarring of the
peritoneum.
(I) Weight gain leading
to obesity.
(J) Abdominal
discomfort/distension.
(K)
Heartburn or reflux.
(L) Increase
in need for anti-diabetic medication.
(M) Muscle weakness.
(N) Dehydration (extreme loss of body
fluid).
(O) Chemical imbalances and
metabolic disorders (unintended change in blood minerals).
(P) Allergic reactions.
(Q) Nausea, vomiting, cramps, headaches, and
mild confusion during and/or temporarily after dialysis.
