Kidney BiopsyThe kidney biopsy is performed in order to determine the potential cause for kidney dysfunction. Patients requiring this test usually have unexplained blood or protein in their urine as detected by urinalysis. A biopsy refers to the removal of a small sample of the tissue for the purpose of microscopic analysis. The test is performed using a local anesthetic. A biopsy needle is inserted into the kidney, often with x-ray or ultrasound guidance. A small core of tissue is taken (without damaging the kidney) for analysis. The patient usually remains in the hospital overnight, lying still on their back for 12-24 hours to discourage bleeding from the biopsy site. ***** REMEMBER ***** 1. There is a small risk of secondary infection at the biopsy site. 2. Some localized bleeding (nonserious) is expected and will cause muscle soreness. 3. The main complication that can occur is prolonged bleeding from the kidney. This happens less than 1 in 1,000 cases. 4. Some cases may warrant open biopsy. If a tumor is suspected, the open biopsy is commonly performed. Open biopsy will be rendered under general anesthesia. An incision is made and a wedge of the kidney is removed for microscopic analysis.
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