Daily life guidance.
1. establish an optimistic and cheerful, positive outlook on life and enhance self-confidence in curing the disease.
2. Drink a lot of water, drink more than 2500-3000 ml of fluid per day, drink moderate amount of water before bedtime, keep the daily urine volume above 2000 ml to reduce the chance of stone formation.
3. Make dietary adjustments as suggested by the stone analysis results. Strengthen nutrition, eat a meat and vegetable diet, eat more vegetables and fruits, keep the bowels open, avoid constipation, and prevent secondary bleeding. Eat less spicy and stimulating food, quit smoking and alcohol.
4. Do appropriate outdoor activities and light aerobic physical exercise (walking, tai chi, etc.) to enhance physical fitness, prevent colds and flu, and avoid overexertion and exposure to cold. Kidney tissues are fragile within 6 months of kidney surgery, so you should not engage in heavy physical labor and do not do strenuous sports (running, playing ball, etc.).
Incision and nephrostomy tube instruction.
1. You can take a shower only after the incision is completely healed, before that you can wipe the non-surgical area with a wet towel, but avoid getting the dressing wet, once the dressing gets wet, you should change the dressing in time at the nearest hospital. Sometimes there will be hard scabs at the incision site, do not remove them forcibly, but wait for them to gradually soften and fall off by themselves.
2. Observe the surgical site for swelling, lumps, pain, and seek medical attention promptly if abnormalities are found.
3. Do not pull to prevent the nephrostomy tube from dislodging and keep the drainage bag positioned below the level of the kidney.
4, prevent reflexion, distortion, compression of the fistula and keep the fistula open. Most patients can leave bed 48 hours after surgery, but depending on the condition of the fistula, sudden force needs to be avoided.
If the color of the fistula suddenly turns bright red during activity, you should immediately rest in bed and notify your health care provider.
6.If the nephrostomy tube is accidentally pulled out, immediately press the wound and rest in bed, and notify the health care provider as soon as possible.
7. Follow the discharge instructions to review, remove stitches, change medication and remove the drainage tube at the outpatient clinic on time.
Health guidance with ureteral stent tube left in place.
1.To reduce and slow down the lumbar activities. During the period with ureteral stent tube, you should not bend forward and backward with force, twist your waist suddenly, lift heavy objects, or have sex.
2. Pay attention to perineal hygiene to avoid urinary tract infection.
3, pay attention to the color of urination. If by chance there are symptoms of frequent urination, urgent urination, slight swelling and pain in the lumbar area on the side of surgery and slight hematuria, please don’t be nervous, they are mostly caused by the stimulation of the internal stent tube and can usually be relieved after rest and medication. If deep red blood urine, blood clots, fever and severe pain in the waist continue to appear, please communicate with the doctor in charge or go to the hospital for examination and follow-up.
4. Patients should keep in mind that there is a ureteral stent tube left in the body and generally come to the hospital for removal 2 weeks-3 months after surgery (the specific opinion of the doctor in charge is the main concern).
Review and follow-up guidance.
1. Outpatient review 1 month after discharge, or outpatient review according to the doctor’s order.
2. 3 months, 6 months, 1 year after surgery, outpatient review of X-ray, ultrasound or CT for stone removal and recurrence of stones.
3.Review intravenous pyelogram or nuclear nephrogram from 3 months to 6 months after surgery to understand the recovery of renal function.
4.Follow up time: 5 years.