Mr Thyer offers specialist management of prostate cancer.
Mr Thyer has a special interest in robotic and laparoscopic surgery for prostate and kidney cancer but also performs surgery for many other urological conditions.
The kidney is a paired organ in the upper abdomen that filters the blood of waste then excretes this filtered waste in the form of urine. The urine is transported from the kidney via the ureter to the bladder in the pelvis where it is stored.
When a high grade or large tumour develops within the kidney it may occasionally invade the inferior vena cava (IVC, a large blood vessel running in the middle of the abdomen) via the renal vein. In this situation nephrectomy (kidney removal) and IVC tumour thrombectomy (removal of the tumour within the IVC) is an option. This is a large operation and is reserved for young fit patients.
Ten days prior to the procedure you should:
On arrival at hospital you will be prepared for theatre by nursing staff. Mr Thyer will see you just prior to being taken into the operating theatre. You will require a general anaesthetic of approximately 4 hours. Mr Thyer will make an incision across the abdomen. The abdominal contents will be shifted aside and the kidney and IVC dissected free. The IVC will be opened and the tumour within removed in one piece with the kidney. This specimen will be sent to a pathologist for microscopic examination (you may incur a pathologist fee). The IVC will be sutured closed and the abdominal contents will be replaced in their normal position. After the operation a drain will be left in the abdomen and a catheter in the bladder. Most patients spend one night in ICU then are shifted to the ward for a further 2-3 nights before being discharged home after Mr Thyer’s review.
Mr Thyer’s rooms will contact you to arrange follow up to check your progress, wounds and pathology 3 weeks following the operation. You should administer the blood thinning injections for 1 month. You should also take laxatives, wear compression stockings, drink plenty of water and avoid heavy lifting for 3 weeks following the procedure. You should not drive a motor vehicle until seen by Mr Thyer at the follow up appointment.
Following the procedure, you should contact Mr Thyer if you: