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.
If a tumour has been detected in the kidney, then surgery is often required to remove it. If the tumour is small enough and in a favourable position, then the part of the kidney containing the tumour can be removed (partial nephrectomy) and the remainder of the kidney spared. This operation can be performed using the open, laparoscopic or robotic techniques.
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 2-3 hours. Mr Thyer make a series of 5 small incisions in the abdomen to allow the passage of the robotic arms with attached instruments. A temporary clamp will be placed on the artery and the section of the kidney containing the kidney removed. The defect in the kidney will be carefully sutured back together, the tumour will be removed and sent to a pathologist for microscopic examination (you may incur a pathologist fee). A drain will be left in the abdomen and a catheter in the bladder. Most people are in hospital 1-2 nights for a robotic or laparoscopic approach and for 3-4 nights for an open approach.
Partial nephrectomy: open surgical incision vs laparoscopic incision
Mr Thyer’s rooms will contact you to arrange follow up to check your progress, wounds and pathology 2-3 weeks following the operation. You should 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:
Radical and partial nephrectomy: open surgical incision vs laparoscopic incision