Urological and kidney care has seen dramatic changes over the past years with focus on the shift from open surgical procedures with limited drug treatments to a specialty that has successfully embraced minimally invasive techniques and new drug treatments for common conditions such as erectile dysfunction, urinary incontinence, kidney stones and kidney transplants. As a comprehensive Urological and kidney care centre, we offer range of specialised, advanced care with individualized treatment plan catered to the patient’s diagnosis, lifestyle and professional requirements.
Kidney stones are a common problem worldwide with substantial morbidities and economic costs. Medical therapy along with lifestyle changes and diet modification reduces stone recurrence significantly. Much progress has been made in the last several decades in improving therapy of stone disease.
Areas of renal stone care include:
- Medical expulsive therapy on spontaneous stone passage
- Pharmacotherapy in the prevention of stone recurrence
- Surgical directions in the treatment of kidney stone disease.
The kidney stone clinic offers world class urologists specialised in LASER techniques for advanced treatment of kidney stones, with a focus on minimally invasive techniques, even for the largest stones. LASER procedures, allows the power, accuracy and shallow penetration to work efficiently while minimizing collateral damage to surrounding tissue.
Laser lithotripsy is recommended as the first choice for kidney stone surgery because it is highly effective, very safe and can be performed immediately for patients who present to our emergency room. Through laparoscopic surgery and LASER techniques at our kidney care centre, we have transformed the way patients are treated for a variety of conditions because these minimally invasive procedures using novel biological sensors, instruments and surgical techniques result in less discomfort, quicker recovery times and better outcomes for patients than traditional “open” surgery.
Apart from our niche field of kidney stone care, we also offer wide spectrum of less invasive procedures as increasing replacement for open surgery for many urological conditions such as blocked ureter, renal cysts, nephrectomy, pelvic organ prolapse and utero pelvic obstruction. We provide best treatment services for most common urological conditions including prostatitis, erectile dysfunction, bladder and lower urinary tract symptoms, urinary incontinence and urinary tract infections in men and women.
Kidney care procedures have advanced in the past few years owing to the diseases that are becoming more common. High percentage of adults in urban areas are diabetic and many of them are likely to develop kidney diseases. About 20-30 % of the adults are hypertensive and many of them will develop chronic kidney disease. The kidneys can be affected by a variety of diseases such as acute kidney injury, Chronic kidney disease, nephrotic syndrome and genetic or congenital diseases. Many patients of chronic kidney disease die of cardiovascular complications.
There has been no cure for chronic kidney disease. Treatment usually consists of measures to help control signs and symptoms, reduce complications and slow the progress of disease. There is no medicine specifically for chronic kidney disease, but medicine can help control many of the problems that cause the condition and the complications that can happen as a result of it. In cases where kidneys are severely damaged, treatment for end-stage kidney diseases involve dialysis and renal transplants. Treatment options may vary from:
- Haemodialysis – where a machine moves blood through a filter outside the body, removing wastes.
- Peritoneal dialysis – filters blood inside body through a lining in the belly to remove wastes.
- Kidney transplant – is surgery to place a healthy kidney into the body to filter blood.
- Conservative management – treats kidney failure without dialysis or a transplant.
At our kidney care centre, we believe that patients with kidney disease need quality care, guidance and hope. We provide a full spectrum of services with a network of specialists in kidney care. Our health care team works with the patients to manage symptoms and preserve kidney functions.
An alternative to dialysis for people with severely reduced kidney function is a kidney transplant. Kidney transplant improves survival and long-term outcomes in patients with renal failure. Before transplant, patients should be carefully evaluated for cardiovascular and infectious disease risk. This is often the most effective treatment for advanced kidney disease, but it involves major surgery and taking medicines for the rest of life to stop the body from attacking the donor organ. Patients must be in reasonable medical condition to receive a transplant and must be able to demonstrate they can take their anti-rejection medications.
Death from cardiovascular disease, infection and malignancy are common complications of immunosuppression and are the leading causes of mortality in kidney transplant recipients. Viral infections and donor-transmitted infections are probably the emerging challenge of these years. Physicians must be aware in developing newer immunosuppressive regimens, with lower side effects, which may improve the long-term outcome of kidney transplantation. Reduction of death with functioning graft and chronic allograft nephropathy will be the greatest challenge of all physicians who care for kidney transplant recipients.
A shortage of donors and the time period to get the right match could take months or years for a transplant. Dialysis is the only option during the wait for a transplant. Survival rates for kidney transplants are very good. About 90% of transplants still function after 5 years and many work usefully after 10 years or more.
Supportive treatment is the only choice when dialysis or a transplant for kidney failure is declined or if they are not suitable. This is also called palliative or conservative care. Our aim to treat and control the symptoms of kidney failure includes medical, psychological and practical care for both the person with kidney failure and their family. Our efforts in delivering quality Urological and kidney care will hopefully match with the development of effective targeted therapy in the future.
There is no one best treatment to suit all kidney stones. In consultation with the urologist, natural home remedies can also be considered as adjustment treatment for best results. Kidney stone management requires a multifaceted approach involving both lifestyle and pharmacologic intervention. Decisions regarding best treatment are made on the basis of specific metabolic abnormalities identified by stone type and evaluation of potential commodities.