Post-Op: Pyeloplasty/Nephrectomy/Partial Nephrectomy

Post-operative Instructions: Pyeloplasty, Nephrectomy and Partial Nephrectomy

ACTIVITY
Quiet play for 4 weeks.  Avoid heavy lifting, roughhousing, running, climbing, bicycle riding, etc.  No swimming for 3-4 weeks after surgery.  Your child may return to school in one week, when they feel comfortable, but no gym or recess for 4 weeks after surgery.  It is important to avoid bumping the surgical area until healing has taken place.  Remember that children often feel better before healing is complete and they cannot be relied upon to limit their activities by themselves.

CARE OF INCISION
Your child will have a clear coating over the incision.  This type of dressing peels off by itself.  It does not require any special care other than keeping the area clean and dry.  The stitches will dissolve by themselves.  

There may also be a drain (which looks like a rubber band) left in after you leave the hospital.  There will be gauze placed over the drain, which will be draining a clear, yellow-tinged discharge, which will gradually diminish.  The drain will be removed in the office in 2-3 days.  

If your child had a pyeloplasty, a drainage tube, called a stent, may be left inside the kidney during the surgery.  If a stent is left inside, your child may experience increased urinary frequency or bladder spasms.  Bladder spasms are noted as a sharp pain which quickly comes and goes at various intervals and frequency.

BATHING
May not take a bath for 72 hours after surgery.  If there is a drain present coming out through the child’s skin, the child may not bathe or shower until it is removed.

DIET
A normal diet may be followed at home.  

MEDICATIONS
If your child was on a daily antibiotic prophylaxis prior to surgery, this should be continued at home until further notice.  If your child has a stent left inside the kidney, you will be given a prescription for a daily low-dose antibiotic to prevent infection.  Your child should take this until you are told to stop doing so. 

You may give Tylenol every 4-6 hours as needed for discomfort. Generally, children should not be given Tylenol more than four times in one day.

Dose:  
4-11 months 80 mg  = four times/day  
12-23 months 120 mg = four times/day 
Over 2 years Read dosage instructions on bottle  

You will also receive a prescription for Tylenol with Codeine if regular Tylenol does not help to relieve the discomfort.  Use this as directed. Do NOT use both regular Tylenol and Tylenol with Codeine at the same time.

FOLLOW-UP APPOINTMENT
Call the office at (248) 519-0305 for a follow-up appointment. 

WHEN TO CALL
If you notice increasing abdominal pain, abdominal distention, fever, nausea, vomiting, drainage or leakage around the incision, notify us by calling (248) 519-0305.

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