Renal tumor coupled with the opposite kidney affected by non-oncologic disease

Abstract

In patients with a renal tumor, the non-oncologic diseases of the contrary organ occur in 17,7% of observations. Among them are: concrements – 5,3%, cysts – in 9,7%, hydronephrosis – in 1,6%, renal artery stenosis – in 1,1% of observations. In patients with a renal tumor and the nononcologic disease of the contrary counterpart, the one first of all should determine a sequence of the therapeutic actions, whereupon the one should solve a question on the type of surgery on the kidney affected by tumor. In all the cases, the one executes surgery on the neoplasm after ensuring an adequate urine outflow from the contrary side. The indications for the organ-sparing surgery on the tumor are the dynamic state of the contrary kidney and the degree of manifestation of the chronic renal failure: in latent state – relative, in intermittent – absolute. 5-year general survival in patients with renal tumor and non-oncologic disease of the contrary organ amounted 76,3%, corrected – 83,3%.