Just want to clear up one thing....are we talking about his urethra or one of his ureters...makes a difference. As far as COPD patients undergoing surgery its done all the time but ONLY at a high volume hospital that specializes in the procedure he needs done.
The difficulty in predicting the risk an individual patient actually faces means that doctors who treat advanced COPD patients often face a knotty decision: Should potentially lifesaving surgery be withheldor notwhen the risk of postsurgical pulmonary complications seems high enough to cancel the benefits?
A major comfort, when contemplating surgery, is that more and more doctors are learning to avoidor at least minimizepostoperative complications by recognizing the severity of a patient's COPD, then taking appropriate preventive steps before, during, and after surgery. We note these steps below.
Before Surgery
One of the most important presurgical issues is which hospital to choose. Our advice is to choose one that does a high volume of the procedure you need. It's been shown time and again that the number and severity of complications following a particular surgical procedure go up as the experience of both surgical and nursing staff go down. With more procedures, the postoperative course is substantially smoother and any complications that do arise are far more effectively controlled.
Next is having a good preoperative plan, to minimize your obvious vulnerability to pulmonary complications. The general aim of the plan is maximizing your physical condition. And it helps substantially. Research indicates, for example, that proper preoperative care can reduce the postsurgical occurrence of pneumonia by 60%.
Although the details of your presurgical program would depend on the severity of your lung disease, the basic components apply to any COPD patient
So your dad is very young and seems pretty stubborn. His chances of surviving this depends on his getting to a major center. Don't know where you are but Johns Hopkins and Memorial Sloan tops as is Mayo and a few other places. So give me a hint as to where you are so we can change his mind.
Pat