Page 27 - Beaumont_Book_1
P. 27

Kidney Disease
                                                                          — A Guide for Patients







        How is the procedure performed?                                     It is advisable to avoid any
           A kidney biopsy is carried out in          “Following            strenuous exercise for a week after
        the x-ray department or on the              the biopsy, you           the biopsy to reduce the risk of
        ward by the nephrologist. Mild          must stay in bed for            bleeding. After this there should
        sedation may be given prior to        6 hours. This is to allow         be no reason why normal
        the procedure.If the biopsy is of        the puncture site to           activities cannot be resumed.
        your native kidney, you will be        stop bleeding and help              If you experience severe
        asked to lie on your tummy.                                            pain over the biopsy area or
           If the biopsy is of your                   prevent any             notice blood in your urine, you
        transplant kidney, you will be asked        complications.”         should report back to your doctor.
        to lie on your back. This allows the
        doctor easier access to the kidneys. The skin
        will be cleaned with antiseptic solution and a        What are the possible complications during
        local anaesthetic will be given to numb the area.     a kidney biopsy?
        A special biopsy needle is introduced through the        Any medical or surgical procedure carries risks.
        skin into the kidney to take the sample. Two or       Patients are asked to undergo procedures
        three samples might be required.                      because it is felt that the benefits outweigh the
                                                              risks. Complications of kidney biopsy are rare. The
        What happens after the biopsy?                        most important is bleeding, and you are closely
           Following the biopsy, you must stay in bed for     monitored after the biopsy to detect bleeding.
        6 hours. This is to allow the puncture site to stop      You may have pain or discomfort after the
        bleeding and help prevent any complications.          biopsy. Painkillers can be taken to reduce any
        Following the 6 hour period, you may mobilise         discomfort. If you experience severe pain, after
        gently to the bathroom only. Full mobility can        the biopsy, you should contact the kidney unit.
        resume the following morning if no complications
        have occurred. Your blood pressure and pulse will        Other possible complications of kidney
        be monitored regularly and the biopsy site              biopsy include:
        dressing checked. Each time you pass urine, it          ● Bleeding into the kidney, which can result
        should be given to the nurse, who will then test           in loss of the kidney;
        it to see if there is any bleeding. Painkillers will
                                                                ● Persistent haematuria (blood in your
        be prescribed if you need them.                            urine);
           You will be able to eat and encouraged to drink
        plenty of fluids (providing you are not on fluid        ● Biopsy of an organ other than the kidney;
        restriction). You will be discharged the following      ● Rupture of the kidney;
        morning if no other procedure or treatment is           ● Death (extremely rare).
        scheduled for you.

                                             When do I get the results?
             It takes up to 48 working hours for the laboratory to give a preliminary report and
             about a week to ten days to get a full written report. Your doctor will discuss the
             results of the biopsy with you and discuss appropriate treatments if required.




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