Nephrology and Renal Transplant

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

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

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HOD and ConsultantDr. Rishi Kishore

MBBS, MD (MEDICINE), DM (NEPHROLOGY)

ConsultantDr. Deepak Kumar

MBBS, MD (MEDICINE), DM (NEPHROLOGY)