title: Deterioration in the renal function and risk of microalbuminuria after radical, simple and donor nephrectomy: A long-term outcome.
abstract: OBJECTIVE
  Evaluation of deterioration in renal function and risk of micro albuminuria after radical, simple and donor nephrectomy.
  
  
  METHODS
  A total of 594 patients underwent nephrectomy (159 radical, 318 simple and 117 donors) from February 2009 to December 2012 in our institute. First 300 eligible patients were divided in 3 groups, each having equalled number of patients. Group 1 was consisted of patients who underwent radical, group 2 had simple and group 3 had donor nephrectomy. These patients were followed up to February 2015. Follow up of all the patients were done at first month following the surgery and then in every six months subsequently. The follow up included the measurement of serum creatinine and urinary micro albumin in a spot urine sample. CKD-EPI equation was used for calculation of e GFR.
  
  
  RESULTS
  At the end of our study, 35 patients (41.6%) in group 1 and 8 patients (8.69%) in group 2 developed CKD stage 3. During the follow-up period, 41% patients in group 1, 13% in group 2 and 4% in group 3 developed MA.
  
  
  CONCLUSIONS
  Nephron-sparing surgery should be the standard treatment of renal tumors, wherever possible. There should be a regular follow up of the patients after radical, simple and donor nephrectomy because of risk of CKD. Early consultation with nephrologists should be done by the patients who are suffering from MA after nephrectomy.
authors.affiliation: Department of Urology and Renal Transplantation, SMS Medical College and Associated Hospitals, Jaipur, Rajasthan, India.
authors.forename: Shashi
authors.initials: S
authors.lastname: Verma
authors.affiliation: Department of Urology and Renal Transplantation, SMS Medical College and Associated Hospitals, Jaipur, Rajasthan, India.
authors.forename: Sher Singh
authors.initials: SS
authors.lastname: Yadav
authors.affiliation: Department of Urology and Renal Transplantation, SMS Medical College and Associated Hospitals, Jaipur, Rajasthan, India.
authors.forename: Vinay
authors.initials: V
authors.lastname: Tomar
authors.affiliation: Department of Urology and Renal Transplantation, SMS Medical College and Associated Hospitals, Jaipur, Rajasthan, India.
authors.forename: Nachiket
authors.initials: N
authors.lastname: Vyas
authors.affiliation: Department of Urology and Renal Transplantation, SMS Medical College and Associated Hospitals, Jaipur, Rajasthan, India.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Agarwal
authors.affiliation: Department of Urology and Renal Transplantation, SMS Medical College and Associated Hospitals, Jaipur, Rajasthan, India.
authors.forename: Umesh
authors.initials: U
authors.lastname: Sharma
keywords: Chronic kidney disease; glomerular filtration rate; micro albuminuria; nephrectomy