Nephroureterectomy, or the complete removal of the upper urinary tract on the affected side including the kidney along with the ureter and a part of the bladder, is a treatment option for tumors of the urinary tract (renal pelvis and ureter).

Smoking is a primary cause of renal pelvis and ureteral cancer. Additionally, toxins, including arsenic and benzene, as well as genetic factors play a role.

An early warning sign is blood in the urine. Colics, flank and back pain, as well as urinary retention are also possible. Other symptoms can include night sweats, fever, weight loss, and exhaustion.

Bladder cancer often accompanies renal pelvis and ureteral cancer. For tumors confined to the kidney and urinary tract, surgical removal is performed. For spread to surrounding tissue, lymph nodes, or metastases, a combination of surgery and systemic therapy (chemo/immunotherapy) is applied.

The Da-Vinci nephroureterectomy is a robot-assisted, minimally invasive keyhole surgery that requires special surgical expertise. Instruments are introduced under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.

This surgical procedure is particularly complex as it takes place in the posterior abdominal area and pelvis. During the operation, the kidney, surrounding tissue, ureter, and part of the bladder are removed.

The success of the operation depends on the team’s experience and specific patient data.

Every surgery carries certain risks, such as bleeding during or after the operation, damage to adjacent organs, or wound healing problems.

Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.

Possible side effects include postoperative bleeding, retrograde ejaculation, accumulation of lymphatic fluid (lymphocele) on the affected side, and urinary bladder leakage.

Depending on the tissue analysis, a tailored treatment and follow-up plan will be developed. Additional therapy may be necessary. Surgery can often cure tumors, but regular check-ups remain essential as cancer can recur. Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.