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Nephrology and Renal Transplant

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About

Nephrology is a medical speciality that deals with the diseases related to kidney. Kidneys of a human body are used as filtering units. Usually, the kidneys of a healthy adult individual filter around 180 litres of blood daily to dispose the extra water and toxic material in form of urine. Any alteration or dysfunction of kidney causes acute or chronic renal (kidney) diseases which may cause damage of kidney even resulting to death.

Your Kidneys help maintain normal salt and water balance in our body by removing the liquid waste form the blood. In an adult of normal weight (60-65kg), about 1200m of blood flows through both the kidneys every minute (this is about 20-25% of heart output) Therefore, normal functioning of kidneys is critical for maintaining the body’s balance.

Symptoms of Kidney Disease

  • Burning sensation while urinating
  • Frequent and excessive urination (especially in the night time) Blood in the urine (brown or coffee color)
  • Puffiness or oedema on face and body Hypertension (high blood pressure) Nausea and vomiting
  • Loss of appetite
  • Headache
  • Anemia
  • Skin itching
  • Lower back pain
  • Physical weakness

The above symptoms/signs are given to you as a warning and should be used as general guideline only. Contact your doctor if you notice any of the above for further advice on investigation and treatment.

Kidney disease is detected only when you go for urine/blood checkup. A large number of patients with kidney disease are asymptomatic.

Doctor's advice is a must for any treatment.

Common Causes of Kidney Diseases

  • Long standing diabetes
  • Uncontrolled high blood pressure
  • Chronic glomerulonephritis
  • Nephrotic syndrome
  • Nephritic syndrome
  • Collagen vascular disease/autoimmune disorders
  • Chronic infection of kidney pyelonephritis
  • Polycystic kidney disease
  • Frequent stone formation in urinary tract
  • Enlarged prostate gland
  • Excessive use of medicines over the years (mainly pain killers)
  • Cancer of kidney, prostate & bladder

What We Treat

Conditions/Diseases that can be treated at the Mediversal Institute of Renal Sciences

  • Nephritis
  • Nephrotic Syndrome
  • Kidney diseases arising from diabetes
  • Hypertension, dysproteinemia
  • Polycystic kidney disease
  • Renal failure (acute/chronic)
  • Renal failure arising in ITU/ICCU
  • Obstructive Uropathy
  • Stone Disease
  • Patients requiring kidney transplantation
  • BPH
  • Structure Urethra

Facilities Available at  Mediversal Institute

  • Dialysis
  • Low flux dialysis
  • Single-use low and high flux dialysis
  • Plasmapheresis
  • Hemoperfusion
  • 4008 sc dialysis machines
  • Sled in ITU/ICU with ARRT plus (coming soon)
  • Hemodialysis with ultra-pure water
  • Non invasive monitors with each bed Single needle haemodialysis
  • Peritoneal Dialysis
  • CAPD Catheter Insertion
  • CAPD Training

Ultra Modern Haemodialysis

What is Haemodialysis

Hemodialysis is a process by which blood is purified by taking it out of the body with the help of a machine and passing it through a Dialyser (Artificial Kidney). Blood is taken out of the body via a needle (A.V.F.). In the Dialyser,blood and dialyzing fluid flow on either side of a semi permeable membrane. This removes the toxic waste and excess water from the blood.The pure blood is returnedto the body.This process of takingout and putting inthe blood continues for 3-4 hours.The Dialysis has to be repeated at least 3 times a week,depending upon the patient's condition.

  • Kidney Transplantation
  • PCR-based HLA Typing
  • Cross Match (CDC), DSA Screen
  • Virtual Cross Match (Luminex)
  • Donor-specific Antibody (Luminex)  - Single,Antigen, Cross Match
  • Monitoring of BK Virus
  • Adenovirus in Transplant

Kidney Biopsy with IF Staining, C4d Staining

Biopsy report expected within 96 hours

Immunological panel (ANA, ANCA, anti-GBM,C3, etc)

AAMI Standard RO purified ultrapure water treatment plant

Urological Operations

BPH Management

State-of-the-art facility to manage this common disease  affecting elderly  population. Ultramodern

laser treatment for prostate along with conventional microsurgery like TURP, Saline TURP (Plasma Kinetic Resection), HOLEP (Laser Prostrate Surgery)

STONE Management

Modern facility to manage Urinary Stone Disease:

PCNL:Percutaneous Nephrolithotomy isa minimally­ invasive method whereby kidney stones are removed by establishing a keyhole tract to remove the stone from the kidney

Uretero-renoscopy: Endoscopic technique to break and remove ureteric stones by application of energy sources like pneumatic lithotripsy and la ser lithotripsy

RIRS (Retrograde Intra Renal Surgery): The latest and ultra modern method to remove stones anywhere in the urinary tract,from the urethra to bladder, ureter or kidneys. It requires absolutely no holes anywhere - uses a HoYAG laser to powder and vapourise the stones.

Uro-oncology Services

State of the art facilities for the management of :

Renal Cancers - Radical Nephrectomy(removal ofthe entire kidney). Partial Nephrectomy (removal of the cancer without  complete removal of the  kidney­ a first of itskind inJharkhand)

Urethral  Malignancies, Nephroureterectomy, Segmental Ureterectomy

Bladder Cancer - TURBT,radical cystectomy,partial cystectomy, BCG and mitomycin therapy. Follow up cystoscopy rigidandflexible

Urethral Cancer - Urethrectomy,radical cystectomy

Testicular Cancer - High inguinal orchidectomy/ partial orchidectomy / RPLND

Prostrate cancer - Radical prostatectomy

Penile  cancer   -  Partial   penectomy, radical penectomy, B/L inguinal block dissection with TFLflap

Reconstructive urology - Pyeloplasty, lap pyeloplasty, WF repair, hypospadias surgery, dj stenting, bladder reconstruction, urethroplasty

Andrology and male infertility - (1st of its kind in jharkhand)

Urodynamic study

Imaging studies - IVP, MCU,ASU (RGU), CT,CT angio,nephrostogram

Renal vascular surgery - AV fistula and AV grafting

OPD - Nephrology, Urology

Consult with our Doctors