What to expect from kidney removal surgery for Wilms tumour

Wilms tumour care is coordinated by paediatric surgeons, oncologists, anaesthetists, nurses and other specialists. The operation may remove the whole kidney or, in selected situations, part of it. The team may also assess nearby lymph nodes and inspect the abdomen. Chemotherapy may be given before or after surgery, depending on the tumour and the child’s treatment plan.

After surgery, the child may have a drip, catheter, drain or oxygen for a period of monitoring. Pain, nausea, bowel function, urine output and movement are checked regularly. Appetite and energy can take time to return. The remaining kidney is monitored as the child grows, with follow-up arranged by the treating team.

Bring the child’s medicines, allergies and previous test information to the hospital. Ask the team how to prepare for fasting and which medicines to give on the day. At home, offer fluids and small meals as advised, encourage gentle movement, protect the wound and follow limits on school, sport and lifting.

Keep a record of pain, temperature, urine and food or fluid intake if requested. Tell the team about new medicines, reduced eating, constipation or distress. Practical support for siblings, schoolwork and transport can help the family manage appointments.

Contact the paediatric oncology or surgical team promptly for fever, increasing pain, repeated vomiting, a swollen or red wound, fluid or bleeding from the incision, difficulty passing urine or much less urine. Seek emergency help for breathing difficulty, collapse, severe sleepiness, confusion or heavy bleeding. Follow the team’s specific fever instructions, especially during chemotherapy.

Ask whether the whole kidney will be removed, whether lymph nodes will be sampled, how pain and nausea will be managed, when bathing and activity can resume, how chemotherapy fits around surgery and how the remaining kidney will be followed over time.