Editing CUA: Follow-up Localized RCC (2018) (section)

== Rationale for Surveillance ==

* '''Surveillance after treatment allows the urologist to monitor for postoperative complications, renal function, local recurrence, recurrence in the contralateral kidney, and development of metastases'''
* '''Renal function decreases postoperatively and usually improves over time until a new baseline is achieved in approximately 3–6 months.''' The aim of renal function surveillance is to prevent or delay CKD and avoid dialysis. Long-term monitoring of serum creatinine, eGFR, and proteinuria is recommended. '''Consideration for referral to a nephrologist if eGFR <45 ml/min/1.73m2 or progressive CKD develops after surgery, especially if associated with proteinuria'''
* '''Early diagnosis of local and contralateral kidney recurrence (incidence <2%) is useful, since the majority can be cured with treatment'''