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Nephrectomy (Kidney Removal)

Nephrectomy - Kidney Removal Surgery in Hyderabad, India | Cost & Procedure Benefits

PACE Hospitals is one of the best hospital for nephrectomy in Hyderabad, India, offering cutting-edge surgical expertise for both partial and radical nephrectomy procedures. Our highly skilled and experienced urologists and surgical teams use advanced minimally invasive techniques, including laser, laparoscopic and robotic-assisted surgery, ensuring reduced pain, smaller incisions, and quicker recovery times. At PACE Hospitals, patient safety is paramount, supported by state-of-the-art operation theaters, advanced imaging, and comprehensive pre-operative evaluation to post-operative care throughout the entire process.


Whether for the treatment of kidney cancer, chronic kidney disease, or other conditions requiring kidney removal, PACE Hospitals delivers world-class care with exceptional outcomes and a quick and comfortable recovery, making it the leading choice for kidney removal surgery in Hyderabad.

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    Nephrectomy meaning

    Nephrectomy, often known as kidney removal, is a surgical procedure that removes all or part of the kidney. This common surgical procedure is used to treat cancer in the kidneys, as well as other kidney problems and injuries. Nephrectomy is also performed to eliminate a healthy kidney from a living or deceased (dead) donor for transplantation. Nephrectomy, or kidney removal surgery, is performed by a urologic surgeon specializing in treating kidney and urinary tract problems.

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    Types of Nephrectomy surgery

    Nephrectomy is the surgical removal of a kidney and is classified into various types based on the extent of the surgery and the techniques employed. Below are the types of nephrectomy surgery:


    Nephrectomy surgery types based on the extent of the procedure


    Nephrectomy is categorized into three main types based on the extent of the surgery. It includes the following:

    1. Simple Nephrectomy
    2. Partial Nephrectomy
    3. Radical nephrectomy
    4. Donor nephrectomy
    5. Bilateral nephrectomy


    Partial nephrectomy: A partial nephrectomy involves removing a portion of the kidney to treat tiny, easily accessible tumors that have not metastasized (spread). It is sometimes referred to as nephron-sparing surgery. This is typically done when a person has impaired renal function or only one kidney.


    Simple nephrectomy: A simple nephrectomy involves removing the entire kidney and its ureter. It is most commonly used to treat benign (non-cancerous) kidney disease. This procedure is used for impaired kidney function caused by large kidney stones, insufficient blood flow, or abnormal kidney structure.


    Radical nephrectomy: A radical nephrectomy removes the entire kidney, ureter, adrenal gland, lymph nodes, and surrounding tissue. It is used to treat renal cancer that is limited to the kidney but not suitable for partial nephrectomy and for more advanced renal cancer. 


    Other types include -


    Donor nephrectomy: It is the surgical process that removes a healthy kidney from a donor for transplantation.


    Bilateral nephrectomy: It is the surgical removal of both kidneys. It is used in extremely rare cases where significant renal microvasculature alterations, refractory hypertension, chronic thrombocytopenia, and profound neurologic impairment pose a life-threatening risk to the patient.


    Nephrectomy surgery types based on the techniques employed


    Nephrectomy can be performed in three ways based on the techniques employed. It includes the following:

    1. Open Nephrectomy
    2. Laparoscopic Nephrectomy
    3. Robotic-Assisted Nephrectomy


    Open nephrectomy: An open nephrectomy removes the kidney through a wide incision. The process is performed under direct observation.


    Laparoscopic nephrectomy: A laparoscopic nephrectomy involves inserting a laparoscope and surgical equipment through small incisions in the abdominal wall and removing the kidney. 


    Robot-assisted laparoscopic nephrectomy: Recently, surgeons have used robot-assisted laparoscopic nephrectomy, a variation of the traditional laparoscopic method.

    Nephrectomy indications

    A nephrectomy procedure is usually performed in cases of kidney cancer or when a kidney is injured or ill and not functioning properly. A nephrectomy can be performed by a variety of techniques, including open surgery, laparoscopic surgery, and robot-assisted surgery. Below are some of the conditions in which nephrectomy is indicated: 

    • Irreversible kidney damage: Patients with irreversible kidney impairment caused by symptomatic chronic infection, blockage, calculus disease, or severe traumatic injury may need a simple nephrectomy.
    • Renal malignancy: If cancer is diagnosed in the kidney, it may also be essential to remove the adrenal gland situated on top of the kidney.
    • Transitional Cell Carcinoma: It is a type of kidney cancer that develops in the lining of the urinary tract (transitional epithelium, the tissue lining the inside of hollow organs). When it develops in the urinary system, it is referred to as urothelial carcinoma.
    • Pelvic ureteric junction obstruction: Pelvic ureteric junction obstruction (PUJO) cannot be managed only through medical management. Patients with split kidney function of less than 10% may be asymptomatic nephrectomy may be recommended for those who have a recurrent urinary tract infection, prolonged loin pain, or haematuria.
    • Kidney stones: Nephrectomy or partial nephrectomy is recommended for patients who have large the kidney stones with no indication of function or stone-bearing hydrocalix.
    • Autosomal dominant polycystic kidney disease: Nephrectomy is recommended for autosomal dominant polycystic kidney disease (ADPKD) patients who have severe abdominal pain, anorexia, renal cell cancer, renal haemorrhage, kidney infection with gas-forming substances, and staghorn calculi in non-functioning kidneys with recurring urinary tract infections. Nephrectomy for significant cystic kidneys is an option for end-stage kidney disease (ESKD) patients who are symptomatic or need to enhance abdominal capacity for a future renal transplant. 
    • Hypertension: Simple nephrectomy is used to treat renovascular hypertension caused by uncorrectable renal artery disease or severe unilateral parenchymal damage caused by pyelonephritis, nephrosclerosis, reflux dysplasia, or congenital kidney dysplasia.
    • Glomerulonephritis: It is a condition marked by inflammation of the glomeruli, the small filtering units in the kidneys that remove waste and excess fluid from the blood. When these filters become inflamed, they lose their ability to function effectively, which can result in a range of kidney issues.
    • Failed reconstructive treatments: Nephrectomy may be necessary if reconstructive therapies have failed or are not recommended due to poor kidney function, old age, or co-morbid conditions.
    • Hydronephrosis: It occurs when one or both kidneys become enlarged and stretched due to a buildup of urine. This condition can affect people of all ages and is sometimes detected in unborn babies during routine pregnancy ultrasounds, where it is known as antenatal hydronephrosis.
    • Wilms tumor: It is also called nephroblastoma, is a rare form of kidney cancer primarily affecting young children. It is the most common type of kidney cancer in children, typically occurring between the ages of 3 and 4.
    • Kidney Donation: In living donation, a healthy kidney is donated by a living individual to a recipient with kidney failure, while in deceased donation, a kidney is provided by someone who has passed away.
    • Other indications: Injury (trauma), infection, kidney deformities (birth defects - congenital abnormalities) and removal of a kidney from a donor for a kidney transplant are some of the other indications of nephrectomy.
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    Nephrectomy contraindications

    Nephrectomy surgery is unsafe in some conditions; hence, it is not recommended. Below are some of the situations where nephrectomy is not recommended:

    • Coagulation disorders: Sometimes, blood clotting disorders are referred to as thrombophilia’s or coagulation disorders. These disorders involve issues with the body's capacity to regulate blood clotting.
    • Abdominal sepsis: Abdominal sepsis, also known as secondary peritonitis, is a serious medical emergency that occurs when the body reacts to bacterial peritonitis with systemic inflammation.
    • Tumor size larger than 13 cm: Large tumor size is only a relative contraindication, depending on the laparoscopic surgeon's comfort level and the tumor's specific characteristics.
    • Bulky lymphadenopathy: It occurs when the transverse or coronal maximal diameter of lymph nodes exceeds 7 centimetres. It could be a sign of early-stage Hodgkin lymphoma.
    • Presence of IVC tumor thrombus: Vena caval thrombosis (IVC thrombosis) is a medical condition in which a blood clot, or thrombus, forms in the inferior vena cava (IVC), the body's largest vein.


    Poor general health, metastatic disease, severe renal dysfunction, and prior partial nephrectomy are some of the other contraindications of nephrectomy.

    Nephrectomy advantages

    A nephrectomy can be a life-saving treatment for those with kidney cancer. Below are some of the advantages of nephrectomy: 

    • Nephrectomy, or kidney cancer surgery, is commonly performed to treat renal cell carcinoma (RCC). Radical nephrectomy involves removing the entire kidney, which can help prevent cancer spread and reduce the risk of recurrence.
    • Nephrectomy is only used rarely in individuals with incurable relapsing destructive pyelonephritis and symptoms of fast-worsening chronic kidney disease (CKD).
    • Donor nephrectomy helps in the removal of a healthy kidney from a donor for transplantation.
    • Nephrectomy can help with symptomatic relief for problems like excessive bleeding or discomfort caused by kidney tumors or cysts.
    • Patients who undergo radical nephrectomy have a greater probability of survival.
    • Patients with kidney cancer may have pain, blood in their urine, or a tumor or lump on the side or lower back. Radical nephrectomy may help to reduce these symptoms.
    • In some cases, the remaining kidney may substitute for the removed kidney, resulting in enhanced renal function.

    Nephrectomy procedure

    The nephrectomy surgery involves the following steps:


    Before nephrectomy


    • Patients are often admitted on the day of surgery. They will often undergo pre-assessment on the day of their clinic or pre-assessment appointment to check their overall fitness, screen for methicillin-resistant Staphylococcus aureus (MRSA) carriage and perform necessary baseline investigations.
    • After admission, patients will be examined by the surgical team members, including the consultant, junior urology doctors, and the assigned nurse.
    • Patients will be asked not to eat or drink for six hours before surgery, and the anaesthetist may provide a pre-medication that will make them dry-mouthed and comfortably sleepy.
    • Patients have to wear anti-thrombosis stockings during their hospital stay to prevent blood clots from developing in the veins of their legs during and after surgery.
    • Patients who regularly take antiplatelet medication or other blood thinners should consult their urologist because these medications can cause more bleeding after surgery. There may be a risk-benefit balance in which stopping them reduces the likelihood of bleeding but increases clotting, which could lead to a risk to their health. As a result, a thorough examination of risks and benefits may be required.
    • Patients need to inform their urologist in advance of their surgery if they have an artificial heart valve, a heart pacemaker or a defibrillator, a coronary artery stent, an artificial joint, a neurosurgical shunt, an artificial blood vessel graft, or any other implanted foreign body, a prescription for blood-thinning medications, a previous or current MRSA infection, a high risk of variant Creutzfeldt-Jakob disease (CJD).
    • If patients smoke, they should consider quitting for a few weeks before the surgery. Smoking decreases oxygen levels in the blood, increasing the risk of respiratory issues during and after surgery.
    • Patients can continue taking their regular medications until the day of their procedure. If the surgeon or anaesthetist advises against taking regular medicine, they will discuss the possibilities.
    • People with long term medical conditions, such as diabetes, hypertension, asthma, or epilepsy, need a check-up from their primary care physician.
    • Patients with loose or damaged teeth or crowns may require care from their dentist. Typically, the anaesthetist will insert an airway into the mouth to aid breathing. If the teeth are not secured, they may be damaged.
    • The patients have to give their consent, signing the consent from authorizing the doctors to perform the surgery. Patients should carefully read the form; if there are any questions, they can ask the doctors


    During nephrectomy


    • Usually, a full general anesthetic is used, and patients will remain unaware during the entire procedure. In some cases, the anaesthesiologist may provide an epidural anesthetic to ease or minimize postoperative pain.
    • Patients are usually given injectable antibiotics before surgery and after being checked for allergies.
    • The kidney usually gets removed by an incision in the abdomen, but the incision may also be made in the loin(side) or extended into the chest.
    • A bladder catheter is usually inserted after surgery to monitor urine output, and a drainage tube is sometimes inserted through the skin to the site where the kidney was removed.
    • If the operation is very difficult, a stomach tube may be necessary to be placed through the nose to prevent air from entering the stomach and bowels.


    After nephrectomy


    • After the surgery, patients may remain in the operating theater's special recovery area before returning to the ward; visiting hours in these areas are flexible and will depend on what time patients return from the operating theater. Patients will generally have a drip in their arm, with the rare flow into a larger vein in their neck.
    • Patients will be able to consume clear fluids immediately following their surgery and begin a light diet within one to three days.
    • Patients are encouraged to mobilize (move) as soon as possible and to consume fluids or food.
    • Patients are encouraged to perform breathing exercises.
    • The catheter is usually removed when the patients are able to move.
    • After the surgery, patients may be given an injection of an anticoagulant medication beneath the skin, which, along with the elasticated stockings, will help avoid thrombosis (clots) in the vein.
    • The hospital stay of the patients is expected to last around five days, but some patients leave sooner or need to stay longer.

    Nephrectomy complications

    Urological surgical procedures include a minor risk of postoperative bleeding, wounds, and chest and urinary tract infections. Patients need to be monitored for these risks and get treated accordingly. Below are some of the complications of nephrectomy surgery: 


    • Hemorrhage: Post-operative bleeding can result from an unsecured artery or from the rupture of an intrarenal artery pseudoaneurysm. The presence of a post-operative perinephric hematoma can be determined using computed tomography (CT), ultrasound, or Magnetic resonance imaging (MRI); however, the site of active haemorrhage is best demonstrated on CT angiography (CTA) or, eventually, diagnostic angiography (DSA).
    • Urinary leakage: Urinary leakage can result from intraoperative damage to the renal pelvis, ureters, or urinary bladder. It may be clinically suspected with flank pain, renal failure, or urine flow from a surgical drain.
    • Renal insufficiency: Most cases of renal insufficiency after partial nephrectomy are caused by transitory ischemia during surgery, which normally resolves spontaneously. Preventive methods include hydrating before surgery, treating electrolyte imbalances, keeping arterial clamp time to a minimum, and applying surface hypothermia.
    • Infections: The patient's chest, wound, and urine will be checked for early symptoms of infection and treated accordingly. Antibiotics are administered directly into the bloodstream during the procedure and may be continued postoperatively if necessary to limit the risk of infection. 
    • Incisional hernia: As a wound heals, scar tissue grows, forming a link between the incisions. Although scar tissue is tough, it can tear or give way occasionally. This causes a bulge to form along the scar (an incisional hernia) one to five years following surgery. A hernia may not cause any difficulty, but it may need to be repaired if it does.

    Questions that the patients can ask the healthcare team about nephrectomy surgery?

    • When can I go home?
    • When do I need to see my doctor again?
    • What kind of pain can I expect?
    • When can I go back to my regular activities?
    • What is the expected recovery time?
    • What precautions should I take?
    • What problems can occur after nephrectomy?
    • What can I eat after the nephrectomy?
    • Do I need any further treatment?

    Difference between Simple nephrectomy and Radical nephrectomy

    Simple nephrectomy vs Radical nephrectomy


    A simple nephrectomy and a radical nephrectomy are both types of kidney removal surgery, or nephrectomies, in which all or part of a kidney is removed. Below are some of the parameters that help in differentiating simple nephrectomy and radical nephrectomy: 

    Parameters Simple nephrectomy Radical nephrectomy
    Definition A simple nephrectomy is the removal of the entire kidney and its ureter. A radical nephrectomy removes the entire kidney, ureter, adrenal gland, lymph nodes, and surrounding tissue.
    Indications It is most commonly used to treat benign(noncancerous) kidney disease. This procedure is used for impaired kidney function caused by large kidney stones, insufficient blood flow, or abnormal kidney structure. It is used to treat renal cancer that is limited to the kidney but not suitable for partial nephrectomy, as well as for more advanced renal cancer.
    Risk of complications Usually, there is a low risk of complications compared to radical nephrectomy. Radical nephrectomy has a higher risk of complications.
    Type of procedure It can be performed using open and laparoscopic surgery It can be performed open, laparoscopically, or using robotic techniques
    Extent of surgery It involves the removal of only the kidney It involves the removal of a kidney, ureter, adrenal gland, lymph nodes, and surrounding tissue.

    Frequently Asked Questions (FAQs) on Nephrectomy procedure

    • How long does it take to recover from nephrectomy?

      The recovery period could take up to three months. It is usual to feel tired for a few weeks. For six weeks after surgery, avoid strenuous exercise (such as grass cutting) and heavy lifting. Patients should progressively increase the amount of exercise they do during this period. 

    • What happens to the ureter after nephrectomy?

      The distal ureteral remnant is normally abandoned after nephrectomy with no major complications, but in a few people, it may cause discomfort. Ureteral stump syndrome (USS) is an uncommon but well-known complication of nephrectomy. 

    • Does the remaining kidney grow after nephrectomy?

      After the surgical removal of one kidney, the other expands and improves its function. The mechanism for sensing this shift and development is not fully known, although it occurs within days, with compensatory renal hypertrophy (CRH) being the primary contributor to growth. 

    • What are the precautions after kidney removal?

      Precautions after kidney removal include avoiding all vigorous activities, such as heavy exercise, weightlifting, and anything else that causes people to breathe hard or strain. Taking short walks and using the stairs is acceptable. Light housework is acceptable. 

    How long does a laparoscopic nephrectomy take?

    Laparoscopic procedures are performed under general anesthesia, so patients are unaware that they are having the procedure and feel no pain. The surgeon makes three keyhole incisions. The operation typically takes 2-3 hours, although this can vary depending on the specific case.

    How long after nephrectomy can you drink alcohol?

    After nephrectomy surgery, patients should stay away from alcohol for at least two weeks. Alcohol can affect kidney function and may interfere with the healing process. Mixing alcohol and pain relievers can be risky since it can damage wounds, cause overexertion, and prolong swelling. Alcohol can also dehydrate the body. Factors such as the overall health of your remaining kidney and any other underlying medical conditions will influence the timeline for resuming alcohol consumption.

    How long does a partial nephrectomy take? 

    General anesthesia is required for laparoscopic and robotic partial nephrectomy. While the duration of surgery varies from individual to individual, it is usually three to four hours.

    What is cytoreductive nephrectomy? 

    A nephrectomy procedure is the surgical removal of all or part of the kidney. Cytoreductive nephrectomy (CN) is a treatment used to minimize tumor burden in individuals who have acquired metastatic illness. CN is commonly combined with systemic anticancer therapy (SACT).

    What is native nephrectomy?

    Native nephrectomy is occasionally performed before, concurrently with, or after kidney transplantation for recurrent and/or severe cyst infections, diagnosis of or suspicion of renal cell carcinoma, intractable pain unresponsive to analgesic medications, symptomatic nephrolithiasis, anatomical space considerations for transplantation, recurrent or severe bleeding episodes.

    Do adrenal glands get removed with nephrectomy?

    Yes, a radical nephrectomy involves removing the entire kidney and a part of the tube leading to the bladder (ureter), the gland that sits above the kidney (adrenal gland), and the fatty tissue around the kidney. 

    When should stop aspirin before nephrectomy surgery?

    The traditional suggestion is to discontinue aspirin 7-10 days before surgery, including nephrectomies, although the best timing to discontinue depends on several criteria and varies for each clinic. These include the reason for taking aspirin and the type of surgery they're undergoing.

    Can you walk after a nephrectomy?

    For the first week, going for a short walk in the morning (no more than 10 minutes) and again in the afternoon is advisable. Make sure one must take rests at regular times. Remaining active following the procedure is critical to avoid complications such as chest infections or blood clots.

    How does your quality of life change after a radical nephrectomy for stage 1 cancer?

    After a laparoscopic or robotic radical nephrectomy for stage 1 kidney cancer, many patients can enjoy a good quality of life, as the body can often function well with one healthy kidney. Here's what you can generally expect in terms of quality of life and potential considerations after the nephrectomy surgery:


    Physical Recovery

    • Short-term recovery: Following the surgery, you’ll need time to heal. The recovery period depends on whether the surgery was open or laparoscopic. Laparoscopic nephrectomy usually allows for quicker recovery (2–4 weeks), while open surgery may require 6–8 weeks. During this period, you’ll experience some discomfort, but most patients are able to gradually resume their daily activities.
    • Energy levels: Initially, you might feel fatigued as your body adjusts to having one kidney. However, over time, most patients regain normal energy levels.


    Kidney Function

    • Compensatory function: In most cases, the remaining kidney compensates for the loss of the other, and you may not experience any noticeable differences in your daily life. Your remaining kidney increases its filtering capacity to maintain balance in the body, so your overall kidney function typically remains stable.
    • Monitoring: Regular follow-ups and kidney function tests (like blood pressure, creatinine levels, and urine tests) will be necessary to ensure that your remaining kidney is working well. This monitoring is crucial to detect any early signs of kidney problems or recurrence of cancer.


    Lifestyle Changes

    • Diet: You might be advised to adopt a kidney-friendly diet to protect your remaining kidney. This generally includes maintaining a balanced diet, reducing salt intake, limiting processed foods, and drinking plenty of water. In some cases, patients are encouraged to avoid excessive protein, as a high-protein diet can strain the remaining kidney.
    • Physical activity: Once fully recovered, you can usually return to regular physical activities, including exercise. However, it’s important to avoid strenuous activities for the first few months post-surgery, and it’s best to discuss your exercise plan with your healthcare provider.


    Emotional and Psychological Health

    • Being diagnosed with cancer and undergoing surgery can have an emotional impact. Feelings of anxiety or fear about cancer recurrence are normal, but many patients find that they can resume their normal lives after the surgery. Support from family, friends, or cancer support groups can help in coping with the emotional aspects of recovery.


    Long-term Health Considerations

    • High blood pressure: Some patients may develop high blood pressure (hypertension) after nephrectomy, as the remaining kidney may have to work harder. Regular check-ups and lifestyle changes can help manage this.
    • Chronic kidney disease (CKD): Although uncommon after a nephrectomy for stage 1 cancer, there is a small risk of developing CKD over time, particularly if other risk factors (like diabetes or hypertension) are present. Maintaining a healthy lifestyle and monitoring your kidney function will help mitigate this risk.


    Cancer Surveillance

    • After stage 1 cancer, the risk of recurrence is generally low, but regular oncological follow-ups are necessary. You may have periodic imaging tests like CT scans, MRIs, or ultrasounds to ensure there is no recurrence of cancer in the remaining kidney or other parts of the body.


    Overall Quality of Life

    • Most patients who undergo a radical nephrectomy for stage 1 cancer go on to live normal, healthy lives. The remaining kidney typically compensates for the loss of the other, and with a few lifestyle adjustments, patients can expect minimal impact on their overall health. Regular monitoring, a healthy lifestyle, and follow-up care are key to maintaining long-term well-being.

    What could cause a radical nephrectomy intended for one kidney to result in the removal of both kidneys during the same surgery?

    A radical nephrectomy, which typically involves the removal of one kidney along with surrounding tissues, could result in both kidneys being removed during the same surgery under rare and specific circumstances. Some possible reasons for this include:


    Unexpected Discovery of Disease in the Second Kidney

    • Cancer in Both Kidneys: Sometimes, during surgery or additional imaging, doctors may discover that cancer has spread or is present in both kidneys. If both kidneys are severely affected by cancer (especially in the case of bilateral renal cell carcinoma), it may be necessary to remove both to prevent the spread of the disease.
    • Polycystic Kidney Disease (PKD): In some cases of advanced PKD, where both kidneys are severely enlarged or dysfunctional, surgeons might opt to remove both kidneys to prevent future complications.


    Severe Damage or Complication to the Remaining Kidney

    • Accidental Damage During Surgery: During a nephrectomy, the remaining kidney may suffer accidental damage due to surgical complications, such as blood supply issues or unintended injury to the surrounding structures. If the damage is severe and cannot be repaired, the surgeon may need to remove the second kidney as well.
    • Vascular Complications: If the blood vessels supplying the second kidney are compromised during the surgery, leading to ischemia (lack of blood supply), the second kidney may need to be removed to prevent tissue death and subsequent complications.


    Underlying Chronic Kidney Disease (CKD)

    • In some cases, if both kidneys are already impaired due to conditions like CKD, the second kidney may not be functional enough to leave in place. If it is no longer filtering waste or controlling fluid and electrolytes properly, the decision may be made to remove both kidneys at once.


    Severe Infections

    • In the presence of severe infections such as chronic pyelonephritis (a severe kidney infection), both kidneys may need to be removed if the infection is persistent and unresponsive to treatment, posing a threat to the patient's overall health.


    Congenital or Genetic Conditions

    • Conditions like Bilateral Wilms Tumor or other rare genetic conditions that affect both kidneys may require both kidneys to be removed, especially if both kidneys are compromised and contributing to a poor prognosis.


    Planned Nephrectomy as a Precaution

    • In cases where the second kidney is significantly damaged or at high risk of becoming non-functional in the near future, the surgical team may opt for a preemptive removal. This can occur in cases of extensive kidney disease or high likelihood of cancer recurrence.


    In situations where both kidneys are removed, the patient will likely require dialysis immediately after surgery to take over the function of filtering waste from the blood, or a kidney transplant may be planned as a long-term solution.

    How much does a nephrectomy surgery cost in Hyderabad, India?

    Nephrectomy surgery cost in Hyderabad can vary from ₹1,35,000 to ₹4,50,000 (US$1,600 - US$5,400), that depends on several factors such as the type of nephrectomy (kidney removal) procedure (such as simple, partial, radical or bilateral), the patient’s overall health condition, the hospital facility and charges (Room, Operation Theatre & ICU charges), length of stay, surgeon’s expertise, the type of anesthesia used (local, regional, or general), insurance or corporate approval, pre-operative tests and post-surgery care. Below is a detailed breakdown of costs based on the techniques:

    • Open Nephrectomy (traditional simple, partial, radical or bilateral nephrectomy surgery): Approx. Cost ₹1,35,000 – ₹2,25,000 (US$1,600 - US$2,680)
    • Laparoscopic Nephrectomy (minimally invasive simple, partial, radical or bilateral nephrectomy surgery): Approx. Cost ₹1,85,000 – ₹3,25,000 (US$2,200 - US$3,870)
    • Robotic-Assisted Nephrectomy (robotic simple, partial, radical or bilateral nephrectomy surgery): Approx. Cost ₹3,75,000 – ₹4,50,000 (US$4,450 - US$5,350)


    It is important for a person considering nephrectomy (kidney removal) surgery should consult with a urologist to obtain personalized estimates. This ensures a clear understanding of the procedure details, potential costs, and associated risks before going ahead with the surgery.

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