Institute of nephrology is a branch of science that deals with study, diagnosis and treatment for kidney disease. there are few types of renal disease for which we provide comprehensive care. it includes diabetes mellitus, hypertension, stone problems, hereditary defects, kidney and related parts infection, etc,. we have qualified physicians well mastered in the nuances of diagnosis and also skilled support team like assistant physician, nurses, and other medical social workers. It is also called as acute renal failure or acute kidney injury is a abrupt or rapid failure in the renal filtration function which occurs in just 2 to 3 days. The ability of the kidney to filter the waste from the blood is declined which leads to accumulation of waste products in the blood itself thereby affecting its chemical composition. Balance of fluids and electrolytes are lost immediately. It requires a quick and intensive treatment. We have a round the clock expert team to confront any immediate requirement and emergency. It is a slow loss of kidney over the time. It slowly damages the kidney which leads to increase of waste products in the blood. At later stage it becomes acute. It also results in high blood pressure, anemia, low bone density, nervous problem and poor nutrition in the blood. Chronic disease may also be caused by diabetes, hypertension, etc. Early diagnosis and treatment are necessary which otherwise leads severe injury that requires kidney transplantation to sustain life. We have provided comprehensive care and advice for chronic disease by our expert team. It is the one in which the kidney losses its capacity to maintain balance of nutrition and electrolytes in the blood stream. Usually the kidneys remove the toxic substances from blood and pass them out through urine maintaining the red blood cells and proteins the blood itself. It gets reversed in glomerular disease where the toxins are maintained and red blood cells and proteins are exited through urine. The albumin protein is vital in absorbing fluids from the body and retain with it until the kidney removes it through the urine. When this albumin protein itself is sent out through the blood, the fluids gets accumulated out of the circulation and gets accumulated in face, hands, feet and ankles which results in swelling. Hence immediate remedy is required which we render with our team of nephrologist. It is due to formation of cysts in the kidneys. Cysts are small non cancerous, bag like structure that contains water like fluid. This grows bigger and bigger with more accumulation of water and fluid which damages the kidney to a large extent. The cyst may sometimes spread to liver also. The kidneys affected are called as polycystic kidney. It is some time a hereditary disease inherited from parents. The child born to affected parents have a 50% chance of acquiring it. High blood pressure, kidney failures are some of the problems associated with polycystic kidney. Early diagnosis and treatment helps in further proliferation of cysts and reduce complications It is the one which affects the kidneys either before or immediately after the birth. They are detected before birth by prenatal tests which can be treated by invasive procedures immediately after birth depending upon the other conditions of the health. Most patients are less than 5 years of age. Some of the disorders include

• Primary defects in the kidney tissues such as parenchymal disease


• Obstruction of urinary tract


• Cystic disease

It is a problem in which the flow of urine is hindered. The flow from kidneys to the urinary bladder through the ureter is blocked and the urine gets backed up in the kidneys. Prolonged retention of urine in the kidney leads to its swelling and thereby damaging either one or both the kidneys. If the block gets opened quickly, then recovery is not a problem. But if it doesn t happen then it leads to severe damage of kidneys. Some of the common causes of obstructive nephropathy include bladder stone, kidney stone, bladder or urethral cancer, enlargement of prostrate and other spreading cancer. These are small, hard stones that are formed from mineral deposits. The minerals that cannot be passed on through urine gets deposited in the kidney and becomes hard as time progresses. The stone may be anywhere in the urinal track but will originate only in the kidney. Kidney stones can be passed out usually by drinking a lot of water to pass it through urine. It is a painful process to get the stone out through urine. In few cases the size of the stone is quite big which cannot pass the urine track. In such cases we provide the necessary treatment and care according to the requirement. Invasive methods are also adopted. It is a major cause for kidney failure. In this case either dialysis or kidney transplantation is necessary. Treatment can be done to delay the progression of the disease. With diabetes the glucose and sugar level increase in the body which damages the kidney. As a result, the waste toxic and fluids remains in the blood without getting filtered. Hence if blood glucose level is under control then diseases of this type can be controlled. It is a syndrome which is caused by kidney failure. It leads to flow of protein albumin along with urine. It becomes acute when untreated. The fluids in the blood gets stagnated and results in swelling of the face, anklets, hands and feet. Other symptoms include foamy appearance of urine, abnormal weight gain due to fluid retention outside the circulation track, poor appetite. These diseases are also a severe problem as far as children are concerned. Children and young adolescents are prone to kidney disease nowadays. It may be a congenital disorder, or may be due to hereditary diabetics. We give a complete care for pediatric kidney diseases and all the treatment protocols are under one roof. Dialysis is primarily used to provide an artificial replacement for lost kidney function (renal replacement therapy) due to renal failure. Dialysis may be used for very sick patients who have suddenly but temporarily, lost their kidney function (acute renal failure) or for quite stable patients who have permanently lost their kidney function (stage 5 chronic kidney disease). When healthy, the kidneys maintain the body's internal equilibrium of water and minerals (sodium, potassium, chloride, calcium, phosphorus, magnesium, and sulfate) and the kidneys remove from the blood the daily metabolic load of fixed hydrogen ions. The kidneys also function as a part of the endocrine system producing erythropoietin and 1,25-dihydroxycholecalciferol (calcitriol).

• Our successful team has experts who can perform the following.

Hemodialysis is a process of removing the waste products from the blood when the kidneys are not function. There are few types in hemodialysis

Inpatient Hemodialysis

Outpatient Hemodialysis

Day time & nocturnal Hemodialysis

ICU Dialysis. SLED & CRRT.

Peritoneal Dialysis continuous ambulatory peritoneal dialysis

Automated peritoneal dialysis

Dedicated Hemodialysis machines for Hepatitis B & C patients Kidney or renal transplantation is an end stage procedure for the lost kidney function. When both kidneys are damaged with disease kidney transplantation is the suggested protocol as dialysis cannot be a lifelong procedure. Highlights of kidney transplantation team include.

Well experienced Nephrologists

Transplant Surgeons

Urologists

Immunologists

Pathologists

Microbiologists

Counseling & coordination team

24x7 Cadaver organ retrieval team

Live donor & cadaver transplantations

Multi-disciplinary kidney transplantation unit

ABO incompatible Transplant.

Desensitisation Transplant.

Urology is a branch of science that deals with diagnosis and treatment of diseases in urinary tract system and male reproductive system. It includes kidneys, adrenal glands, urinary bladder, urethra, ureters and male reproductive organs

Our highly qualified urologist team are experienced in following

Endourology is a minimum invasive procedure to remove or fragment kidney stone with the help of tiny endoscopic instruments. the process is carried out through urethra, urinary bladder and ureter. Endourological procedures include urethroscopy, cystoscopy, ureteroscopy, and nephroscopy.

Laparoscopic Urology or a key hole surgery in which two to three incisions are made instead of a large cut. Although it is only a key hole, the view obtained is bright and wide, more convenient for the physician to operate. Quick healing method adopted for renal operations.

Paediatric Urology provides comprehensive and intensive care for children affected with renal diseases. All urological disorders and problems of children are diagnosed by a special team of pediatric urologists.

Andrology is the one which is exclusively for men like gynecology for women. Andrology deals with men reproductive system and disorders such as infertility and sexual dysfunctions associated with it.