Nephrology is a medical discipline that covers the diagnosis, treatment and management of kidney diseases. Commonly treated disorders include kidney stones and kidney failure. Nephrology also involves comprehensive care for kidney diseases associated with other illnesses and conditions, such as hypertension and diabetes.
Dialysis is the process of removing wastes and impurities from the blood and is done when a person’s kidney doesn’t function properly, due to kidney failure, severe diabetes, a congenital kidney disease, hypertension or other health problems.
Dialysis is a form of renal replacement therapy. Dialysis can be done for a short period, in case the patient is waiting for a kidney transplant. If the patient doesn’t qualify for the transplant, life-long dialysis will be needed.
There are two types of Dialysis :
In hem dialysis, a machine called a dialyses is used to filter the blood. A catheter is placed in a vein in the arm, and a needle inserted into this catheter is connected to a tube that carries blood into the dialyses. In the dialyses, a semi-permeable membrane separates the blood from a dialysis fluid. The wastes in the blood pass through the membrane into the fluid, and the clean blood is sent into the body.
In peritoneal dialysis, the abdomen is filled with a glucose-based liquid through a small hole created in the peritoneal membrane (lining of the abdominal cavity). This solution cleans the blood of wastes.
Peritoneal dialysis can be done when the patient is performing regular activities. Such dialysis is called Continuous Ambulatory Peritoneal Dialysis. The patient will be trained to infuse and drain out the fluid a few times every day. Peritoneal dialysis can also be done with the help of a machine, at night, when the patient is sleeping.
Plasma exchange may be done along with dialysis, to filter clotting factors and unwanted proteins. Charcoal hem filtration in which a charcoal layer is used to remove wastes from blood, a process similar to dialysis, may sometimes be used.
Team That CaresRequest Information
Doctor NameRefer A Patient
Dr. Anil Jain, M.S., M.C.H., DNB, MNA.
Urology is the branch of medicine that focuses on diagnosing, treating and managing disorders of the urinary and male and female genital tracts. Commonly treated problems include bladder and kidney stones, diseases of the prostate gland, male infertility, erectile dysfunction and urinary incontinence.
The Centers of Urology at Kulwanti Hospitals provide diagnostic and surgical services for all genitourinary disorders. Areas of expertise include Reconstructive Urology, Endo-urology for stone diseases (including Flexible Ureteroscopy, Percutaneous Nephrolithotomy and Laparoscopic Nephrectomy), Neuro-Urology with aerodynamic facility, Audiology for treatment of male infertility and erectile dysfunction (including prosthetic surgery), Female Urology and Pediatric Urology.
The team of Urologists at Kulwanti Hospitals, continuously seek to develop ways to improve surgical results while reducing recovery time and side effects. They practice advanced surgical techniques including those for bladder preservation and diseases of the prostate, treatment of benign inflammatory and infectious disorders, diagnosis and treatment of kidney stones, all types of voiding dysfunction (including incontinence, obstruction and reconstruction of the upper and lower urinary tract), male infertility, and impotence. Surgical diseases of the adrenal gland are also treated.
The Centers offer specialized treatment of urologic malignancy with emphasis on the management of patients with cancers of the Kidney (radical nephrectomy), bladder (radical cystectomy), prostate (radical prostatectomy), testis and penis. Patients benefit from innovative surgical techniques for treatment of pelvic and retroperitoneal malignancy as well as reconstructive efforts including “neo bladder”.
We have expertise in all areas of urinary tract, pelvic and genital reconstruction, including treatment of abnormalities resulting from injury, disease or surgical therapy. Faculty surgeons have extensive experience in both upper and lower urinary tract reconstruction including treating complex urethral strictures using buccal mucosa.
Laparoscopy (Surgery through a “Keyhole”)
Kulwanti Hospitals has a rapidly developing program in Laparoscopic Urologic surgery ranging from ablative and reconstructive renal surgery. Traditional surgery usually requires long, deep incisions and a lengthy recovery period. Minimally invasive surgery uses a thin, telescope-like instrument called an endoscope, which is inserted through a small incision. Laparoscopic nephrectomy (Removal of kidney through key hole) is replacing open nephrectomy throughout the world and is routinely performed here as well.
Patients have access to a full spectrum of urologic endoscopic equipment and techniques including both flexible and rigid instrumentation. Techniques include trans-urethral surgery of the urethra, prostate, bladder, ureter and kidney, and percutaneous renal surgery. Kidney stones are removed through keyhole (percutaneous nephrolithotomy) and ureteric stones are removed through “microsurgery” (telescopic surgery).
The Urologists at Kulwanti Hospitals specialize in the diagnosis of impotence, reconstructive micro vascular surgery, and pharmacological treatment for sexual dysfunction. A variety of treatment options, such as oral agents, Caverject (an inject able therapy), and a prosthetic inflatable penile implant, are used and tailored to fit both the patient’s underlying patho-physiology and lifestyle.
Neuropathic bladders secondary to trauma (Spinal cord trauma) and neurologic diseases like stroke and Parkinson’s disease are evaluated and managed. Assessment may include complex neuro-urodynamic evaluation to better characterize the urinary continence dysfunction.
The subspecialty of Urogynecology is concerned with the diagnosis and treatment of those urinary tract disorders most prevalent in women.
The Pediatric Urology Service treats congenital abnormalities of the genitourinary system in children. Reconstructive surgery for hypospadias, cryptorchidism, and other genital abnormalities is usually performed on an ambulatory surgery or short-stay basis.
Team That Cares Request Information
Doctor Name Refer A Patient
Dr. Piyush Tripathi, M.S., M.C.H.
Dr. (Prof.) Santosh Kumar, M.D.