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How Much Do You Know about Kidney Biopsy: Is It Harmful

2012-09-19 17:29

Renal biopsy, also known as percutaneous kidney biopsy is needed to confirm the diagnosis. Different kidney diseases present diverse changes of histology

For a great deal of kidney diseases, their clinical symptoms won’t go all the way with changes of histology due to diverse types and complex pathogenesis and causes. Take this for example, clinical signs present as nephrotic syndrome but its pathology can be minimal change disease. Complete treatment plan and development of medical condition is widely divergent too. But, hold on, is kidney biopsy harmful to one’s health? Read on to find your answers.

One single kidney contains around 1 million nephrons but renal biopsy takes only 5-30 of them. Usually, the kidney biopsy is guided by B ultrasound.

However, certain risks exist even though. The most common complications include hematuria, perirenal hematoma and backache etc. Most of the patients can recover shortly after this minimal invasive surgical procedure. Nonetheless, the biopsy could damage other organs such as liver or gall bladder etc. In serious cases, massive bleeding of wound could happen but very rare.

Be more exact, the complications of renal biopsy are:

1. Hematuria

Microscopic hematuria occurs in almost all the patients with kidney biopsy, but disappears automatically 1-5 days after the surgery. For such conditions, no need to deal with it. Gross hematuria usually develops as puncture needle injures kidney calices or pelvis, but can disappear within 1-3 days.

2. Perirenal hematoma

Incidence rate of perirenal hematoma is 60%-90%. The bleeding is usually mild and with no symptoms. Abdominal pain, backache or rebound tenderness can attack as large hematoma develops.

3. Backache

17%-60% of kidney disease patients suffer from backache in the first week after surgery.

How to nurse the patients after receiving kidney biopsy?

Press your wound for several minutes after taking renal biopsy. The patients should be pushed in his or her ward.

Measure the blood pressure and pulse every half hour until four hours passed with stable blood pressure. Corresponding symptoms should be corrected if the blood pressure fluctuates.

Lie down on one’s back for no less than 20 hours. The patients are allowed to walk or move after their medical condition becomes stable as well as no hematuria exists. If gross hematuria develops, their duration for bed rest should be prolonged until no symptoms attack.

To consume proper water so as to excrete sludged blood. Meanwhile, 3 times of urinalysis are required.

Keep an open eye for your changes in illness condition, and inform your doctor if anything bad happens.

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