Unilateral nephrectomy in dogs with renal disease: 30 cases (1985-1994)

Objective-To evaluate indications for and complications, efficacy, and effect son renal function of unilateral nephrectomy in dogs with renal disease,and to evaluate the role that scintigraphy had in the decision to excise a kidney. Design-Retrospective case series. Animals-30 dogs with renal disease that underwent unilateral nephrectomy. A comparison group of 12 dogs with renal calculi that underwent renal scintigraphy but not nephrectomy was included. Results-Indications for nephrectomy included renal or ureteral calculi (n = 10), renal mass (8), chronic pyelonephritis (5), perirenal mass (3), severe hydronephrosis and hydroureter (3), and renal hypoplasia with ureteral ectopia (1). None of the dogs were azotemic before surgery. Renal scintigraphy apparently influenced the decision to perform nephrectomy, because in 14 of 16 dogs that underwent nephrectomy, the affected kidney contributed less than or equal to 33% of the total glomerular filtration rate, but in 6 of 8 comparison dogs that underwent nephrotomy, the affected kidney contributed > 33% of total glomerular filtration rate. Complications of nephrectomy included oliguria (5) and organ laceration 12). Mean I SD final serum creatinine concentration for 16 dogs alive at least 6 months after nephrectomy was 2.2 +/- 1.8 mg/dl Three dogs had chronic renal failure of undetermined cause at the time or death, Nephrectomy did not completely resolve the underlying disease in 13 dogs. Renal function was evaluated in 6 dogs 2 to 3.5 years alter nephrectomy and was impaired in 4. None of the dogs were anemic; azotemic, proteinuric, or hypertensive. Survival time varied depending on the underlying disease. Clinical Implications-Multiple factors contributed to the decision to perform nephrectomy, Unilateral nephrectomy resulted in few serious complications and was not detrimental to the remaining kidney, bur did not always resolve the underlying-disease.