Abstract
Renal-sparing surgery for kidney tumors has received considerable attention over the past several years, with some authors suggesting that such procedures may be carried out in patients with a normal contralateral kidney [1]. There are obvious indications for renal-sparing procedures in patients with a solitary kidney or bilateral renal tumors, but with a few minor exceptions such a treatment plan has not been proven safe in patients with a normal opposite kidney. In this chapter I will present the counterevidence to this ultraistic point of view, as well as a discussion of the procedures currently used to to manage bilateral tumors or tumors in a solitary kidney.
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