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Kidney Removal Surgery In Singapore

Being advised to undergo kidney removal surgery can understandably bring up a range of emotions and concerns. Nephrectomy, the medical term for kidney removal surgery, is a significant procedure that requires careful consideration and surgical care. This procedure involves removing all of one kidney.

Whether you are dealing with kidney cancer, severe kidney damage, or another condition requiring nephrectomy, understanding your options and the surgical process can help you feel more confident about your treatment journey. Dr Tan Teck Wei provides comprehensive nephrectomy services using proven surgical techniques.

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Dr Tan Teck Wei

MBBS|DFD (CAW)|MRCS|MMed (Surgery)|FAMS (Urology)

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kidney removal Kidney Removal Surgery in Singapore
Overview Candidate Techniques Process Recovery Benefits Risks Costs FAQ
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FAQ

What is Kidney Removal Surgery (Nephrectomy)?

Nephrectomy is a surgical procedure to remove the entire kidney. This surgery addresses various conditions including large kidney cancers, and non-functioning kidneys due to injury or chronic infection, or severe kidney damage from stones or other conditions.

The procedure can be performed using different surgical approaches, each suited to specific patient needs and conditions. Modern surgical techniques allow many patients to maintain normal kidney function with their remaining kidney. The choice of approach depends on factors such as the reason for surgery, tumour size and location, overall kidney function, and patient health status.

Who is a Suitable Candidate?

Ideal Candidates

Ideal Candidates

  • Patients with localised kidney tumours or cancer (but not suitable for partial nephrectomy or partial kidney removal).
  • Individuals with non-functioning kidneys causing pain or infection.
  • Patients with severe kidney damage due to recurrent stones or chronic infections.
  • Individuals with chronic severe kidney infection (pyelonephritis) not responsive to conservative treatment.
  • Patients with severe traumatic kidney injury requiring surgical removal.
Contraindications

Contraindications

  • Severe cardiac or pulmonary disease that poses anaesthetic risk.
  • Uncontrolled bleeding disorders that cannot be corrected before surgery.
  • Active infections that require resolution prior to the procedure.
  • Presence of a single functioning kidney, unless surgery is lifesaving.
  • Bilateral kidney disease, where removal would result in total kidney failure.
  • Use of certain medications that substantially increase surgical or anaesthetic risk.

A thorough evaluation by a urology specialist is essential to determine if nephrectomy is appropriate for your medical condition. This assessment includes reviewing your medical history, current kidney function, and overall health status to ensure the procedure’s benefits outweigh potential risks.

Nephrectomy Treatment Techniques & Approaches

  • Laparoscopic Nephrectomy

    Laparoscopic nephrectomy uses several small incisions and specialised instruments to remove the kidney. A camera (laparoscope) guides the surgery, providing detailed visualisation. This minimally invasive approach typically results in less postoperative pain, shorter hospital stays, and faster recovery compared to open surgery. It is suitable for most kidney removals.

  • Robot-Assisted Nephrectomy

    Robot-assisted surgery enhances laparoscopic techniques using a surgical robot controlled by the surgeon. This approach offers enhanced precision, 3D visualisation, and greater instrument flexibility. It is particularly beneficial for advanced cancers.

  • Open Nephrectomy

    Open nephrectomy involves a large incision to directly access the kidney. While less common today, it remains necessary for very large tumours, complex cases, or when minimally invasive approaches are not suitable. This traditional approach provides direct visualisation and tactile feedback, which can be advantageous in challenging surgical scenarios.

  • Technology & Equipment Used

    Modern nephrectomy procedures utilise specialised equipment including high-definition cameras, energy devices for tissue sealing, and surgical staplers. The surgical robot also enhances precision, allows 3D visualisation, and greater instrument flexibility to treat complex cases which may not be amenable to laparoscopic surgery and traditionally required open surgery.

Wondering which approach is right for you?

Dr Tan Teck Wei will assess your medical condition and recommend the most suitable technique.

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The Nephrectomy Treatment Process

  • Pre-Treatment Preparation

    Before nephrectomy, you will undergo comprehensive testing including blood tests, and imaging studies (CT or MRI). You may need to stop certain medications, particularly blood thinners, several days before surgery. You will receive specific instructions about fasting and what to bring for your hospital stay.

  • During the Procedure

    On the surgery day, you will receive general anaesthesia. For laparoscopic or robotic procedures, the surgeon creates 3-6 small incisions and inflates the abdomen with gas for better visualisation. The kidney’s blood vessels are carefully identified and sealed before kidney removal. The procedure typically takes 2-4 hours, depending on complexity. Throughout surgery, your vital signs and kidney function are closely monitored.

  • Immediate Post-Treatment

    After surgery, you will recover in a monitored setting as anaesthesia wears off. Pain management begins immediately with medications adjusted to your comfort. Most patients have a urinary catheter temporarily. You will be encouraged to move and walk within 24 hours to prevent complications. Hospital stay typically ranges from 1-3 days for minimally invasive surgery or 5-7 days for open procedures. Before discharge, you will receive detailed instructions about wound care, activity restrictions, and follow-up appointments.

Recovery & Aftercare

First 24-48 Hours

Initial recovery focuses on pain control and monitoring kidney function through urine output and blood tests. You will start with clear liquids, progressing to solid foods as tolerated. Deep breathing exercises help prevent pneumonia. Most patients can sit up and take short walks with assistance. Watch for warning signs including fever, severe pain, or changes in urination. The surgical team monitors for any immediate complications.

First Week

During the first week home, gradually increase walking distance while avoiding strenuous activities. Keep wounds clean and dry according to instructions. Pain typically improves daily, managed with the prescribed medications. You may experience fatigue, which is normal after major surgery. Maintain adequate hydration to support remaining kidney function. Follow dietary recommendations if provided. Most patients can shower after the first 2-3 days.

Long-term Recovery

Complete recovery typically takes 2-4 weeks for minimally invasive surgery or 6-8 weeks for open procedures. Returning to work depends on your job’s physical demands. Avoid heavy lifting (over 5kg) for 4 weeks. Most patients can resume normal activities, including exercise, after clearance from their surgeon. Long-term follow-up includes regular kidney function tests and imaging to monitor the remaining kidney. With one healthy kidney, most people maintain normal kidney function without lifestyle restrictions.

Dr Tan Teck Wei provides comprehensive post-procedure support to ensure optimal recovery.

Schedule your consultation to learn more about what to expect.

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Benefits of Kidney Removal Surgery

Nephrectomy offers significant benefits for appropriate candidates. For kidney cancer patients, surgery can be curative when the disease is localised, potentially eliminating cancer completely. Removing non-functioning kidneys prevents complications such as recurrent infections and pain. 

Many patients experience improved quality of life after recovering from nephrectomy. With one healthy kidney, most individuals maintain normal kidney function and can lead active lives. Modern surgical techniques minimise scarring and allow faster return to normal activities compared to traditional approaches.

Risks & Potential Complications

  • Common Side Effects

    Temporary side effects after nephrectomy include wound site pain, fatigue, and mild digestive changes. Some patients experience temporary changes in bowel habits due to manipulation during surgery. Mild swelling around wound sites typically resolves within weeks. Temporary changes in appetite and energy levels are normal during recovery. These effects are manageable with appropriate medications and usually resolve as healing progresses.

  • Rare Complications

    Less common complications include bleeding requiring transfusion, infection at surgical sites, or injury to surrounding organs. Pneumonia or blood clots can occur but are minimised through early mobilisation. Some patients develop hernias at incision sites, particularly after open surgery. Chronic pain at surgical sites affects a small percentage of patients. Kidney function problems in the remaining kidney are rare but require monitoring.

    Our experienced urology team takes extensive precautions to minimise risks through careful surgical planning, modern techniques, and comprehensive post-operative care. Prompt recognition and management of any complications ensures optimal outcomes.

Nephrectomy Cost Considerations in Singapore

Nephrectomy costs vary based on several factors including the surgical approach (open versus minimally invasive), complexity of the case, and length of hospital stay. The total fee typically includes surgeon charges, anaesthesia services, operating room costs, hospital accommodation, and initial follow-up care. Pre-operative testing, pathology services, and any specialised equipment may affect overall costs.

The investment in quality surgical care includes access to experienced specialists and modern facilities. During your consultation, you will receive a detailed cost breakdown tailored to your specific surgical needs and approach. Our team can discuss payment options and help you understand what is included in your surgical package.

Dr Tan Scrubs Photo

Dr Tan Teck Wei

MBBS (S’pore)

DFD (CAW)

MRCS (Edin)

MMed (Surgery)

FAMS (Urology)

Dr Tan Teck Wei is a Senior Consultant Urologist in Singapore who specialises in the management of complex urological cancers, including those affecting the kidneys, prostate, and bladder.

He is fellowship-trained in open, laparoscopic and robotic surgery. He also specialises in the management of other urological conditions including:

  • Prostate Enlargement
  • Recurrent Urinary Tract Infections
  • Stones

To date, Dr Tan Teck Wei has been involved in more than 500 robot-assisted surgeries, building up his volume of cases from his fellowship training days and cementing his expertise in robotic surgery.

Dr Tan Teck Wei believes in the holistic management of his patients, and seeks to journey with them from diagnosis to cure.  Dr Tan is effectively bilingual in English and Mandarin, making him a popular choice with the young and old, as well as international patients.

Dr Tan Teck Wei possesses a wealth of specialist experience in the field of Urology. He has previously held positions as a Consultant Urologist and Director of Genitourinary Oncology at Tan Tock Seng Hospital.

Dr Tan’s expertise in conducting MRI-targeted Prostate Biopsies led to his advisory role with the Ministry of Health’s Agency for Care Effectiveness. Furthermore, he has served as an Adjunct Assistant Professor and Clinical Teacher at the National University of Singapore (NUS) Yong Loo Lin School of Medicine and the Nanyang Technological University-Imperial College London’s Lee Kong Chian School of Medicine respectively.

He has actively participated in humanitarian initiatives as a member of the Singapore Navy surgical team, collaborating with the Indonesian Navy to provide healthcare services to the communities in Padang and Ambon. It is his passion to improve the standards of healthcare to patients both in Singapore and overseas.

  • Former Consultant Urologist and Director of Genitourinary Oncology, Tan Tock Seng Hospital
  • Adjunct Assistant Professor, National University of Singapore (NUS) Yong Loo Lin School of Medicine
  • Clinical Teacher, Nanyang Technological University-Imperial College London’s Lee Kong Chian School of Medicine
  • Advisor, Ministry of Health’s Agency for Care Effectiveness
  • Surgical Team, Singapore Navy
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Ready to Take the Next Step?

If you are considering kidney removal surgery or have been recommended for nephrectomy, Dr Tan Teck Wei can help you understand if it is the right choice for your needs. With considerable experience in nephrectomy procedures, he provides personalised care throughout your journey.

Book Your Consultation Today
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    Frequently Asked Questions

    Will I be able to live normally with one kidney?

    Yes, most people live completely normal lives with one healthy kidney. The remaining kidney adapts by increasing its function to compensate. You will not need special diets or activity restrictions once fully recovered. Regular check-ups monitor kidney function, but most patients maintain normal kidney health long-term. Many professional athletes and active individuals have one kidney without limitations.

    How long will I need to stay in the hospital after nephrectomy?

    Hospital stay depends on your surgical approach and recovery progress. Minimally invasive procedures (laparoscopic or robotic) typically require 1-3 days’ hospitalisation. Open surgery usually needs 5-7 days. Your surgeon monitors your pain control, kidney function, and mobility before discharge. Some patients recover quickly and leave sooner, while others benefit from extended monitoring.

    When can I return to work after kidney removal surgery?

    Return to work timing varies by job type and surgical approach. Desk jobs typically allow return in 2-3 weeks after minimally invasive surgery or 4-6 weeks after open procedures. Physically demanding jobs require 6-8 weeks recovery. Your surgeon provides specific guidance based on your surgery and work requirements. Gradual return with modified duties often helps transition back smoothly.

    What follow-up care will I need after nephrectomy?

    Initial follow-up occurs within 1-2 weeks to check your wounds, and review pathology results. Regular monitoring includes blood tests to assess kidney function and periodic imaging. Cancer patients require more frequent surveillance with CT or MRI scans. Long-term follow-up typically involves annual check-ups with kidney function tests. Your specialist creates a personalised follow-up schedule based on your specific condition.