• Pain Control: You can expect to
have some incisional discomfort that may require pain medication
for a few days after discharge, and then Tylenol should
be sufficient to control your pain.
• Showering: You may shower after
returning home from the hospital. Your wound sites can get
wet, but must be padded dry immediately after showering.
Tub baths are not recommended in the first 2 weeks after
surgery as this will soak your incisions and increase the
risk of infection. You will have adhesive strips across
your incisions. They will fall off in approximately 5-7
days on their own. Sutures underneath the skin will dissolve
in 4-6 weeks.
• Activity: Taking walks is advised.
Prolonged sitting or lying in bed should be avoided. Climbing
stairs is possible but should be taken slowly. Driving should
be avoided for at least 1- 2 weeks after surgery. Absolutely
no heavy lifting (greater than 20 pounds) or exercising
(jogging, swimming, treadmill, biking) for six weeks or
until instructed by your doctor. Most patients return to
full activity at home on an average of 3 weeks after surgery.
You can expect to return to work in approximately 4 weeks.
• Diet: You should be on a no added
salt diet and always avoid high protein diets as both can
cause potential damage to your remaining kidney. It is best
to discuss methods and guidelines to protect your remaining
kidney with your primary care physician after fully recovering
• Follow-up Appointment: If your
surgery is performed at Johns Hopkins Hospital, you will
need to call the Johns Hopkins Out Patient Urology Clinic
after your surgery date to schedule a follow up appointment
as instructed by your surgeon. If your surgery is performed
at Johns Hopkins Bayview Medical Center please call 410-550-7008
to schedule a follow up appointment.
• Pathology Results: The pathology
results from your surgery are usually available in one week
following surgery. You may discuss these results with your
surgeon by contacting him by phone or in your followup appointment
in the office.
• Kidney/Liver Function Blood Tests and Xrays:
Patients are encouraged to have an annual blood test to
include a serum creatinine (to follow the function of the
remaining kidney) and liver function tests, performed by
their primary care physician. Your surgeon will also review
these results in the office during follow up visits. In
patients with kidney tumors, follow up Xray tests (e.g.
CT, MRI, sonograms) may be periodically required to follow
the appearance of your remaining kidney.