Open Nephroureterectomy Treatment in India

Aditya Singh, a 58-year-old restaurant owner...

Aditya Singh, a 58-year-old restaurant owner and father of three, had a history of smoking for 30 years before quitting five years ago. He began experiencing painless, visible blood in his urine, which he initially dismissed as a minor issue. After persistent episodes, his family doctor referred him to a urologist. A CT scan revealed a suspicious mass in the upper part of his right kidney's collecting system. A biopsy confirmed high-grade urothelial carcinoma. His urologist, Dr. Sharma, recommended an open right nephroureterectomy, explaining that this aggressive surgery was the best chance for a cure, as it would remove the entire kidney, ureter, and a cuff of his bladder where the cancer could spread. Aditya was terrified of the major surgery and the impact on his active life running his business. The surgery went as planned, but the recovery in the hospital was challenging, with significant pain managed by an epidural and a slow return to walking. Path results showed the cancer was confined and all margins were clear. Six months post-op, with the support of his family and regular follow-up scans showing no recurrence, Aditya has returned to managing his restaurant part-time. He feels profound gratitude for the successful outcome but carries a lingering anxiety before each scan. He has become a vocal advocate for early screening among his community.