In a recent study, the data from a database were analysed retrospectively to evaluate the onset or worsening of high blood pressure (hypertension) following partial versus radical nephrectomy.
3106 patients who did not have hypertension before nephrectomy had an increased risk of developing hypertension after radical nephrectomy. In 6250 patients who already had hypertension, radical nephrectomy made the hypertension worse.
The authors concluded that urologists should counsel patients about the risk of hypertension with radical nephrectomy, and balance the risk associated with partial nephrectomy, such as bleeding or urine leak, with the benefits. Blood pressure of patients undergoing nephrectomy should be closely monitored after surgery.