Renal Sciences

Exceptional Technology. Extraordinary Care.

At Aster Hospitals we have a state-of-the-art infrastructure and the most updated technological equipment backed by a dedicated and skilled team of nephrologists, renal transplant surgeons, anaesthetists, critical care experts, and renal pathologists. 

The Nephrology centre offers affordable and quality diagnosis and treatment for all kinds of diseases related to kidneys including kidney transplant. We offer a wide range of therapeutic technology/support including haemodialysis and peritoneal dialysis.

The centre combines the most avant-garde surgical technology with a personalized approach designed for optimal results and patient comfort. Our experts have performed over 10,000 successful kidney transplants.

We are equipped to provide high precision robotic surgery services to patients of all ages. Robotic surgery allows our doctors to perform many types of complex procedures like nephrectomy, nephroureterectomy, reconstructions, etc. with more precision, flexibility, and control than is possible with conventional techniques.

Aster’s Urology Centre offers a comprehensive range of services for the evaluation, diagnosis, and treatment of acute and chronic adult and paediatric urological conditions including renal failure.

Our Urologists have a rich experience of performing minimally invasive procedures, endourology, laser surgery, laparoscopic surgeries, laser endourology for prostate and kidney stones, Uro-oncology surgeries for cancer of kidney, bladder, prostate, and testis, male infertility and sexual related problems, paediatric urology, female urology, reconstructive urology, and renal transplantation.

Combining medical expertise, advanced technology, state-of-the-art infrastructure, and surgical facilities makes Aster one of the most coveted hospitals for urology treatment in India & abroad.

Our hospitals are equipped with advanced robotic surgical equipment for precision surgeries.
At Aster Hospitals, we have pioneered some of the most innovative urology procedures. 

Our Medcity unit is the third centre in the world to perform a robotic transvaginal renal transplant surgery and the first in India to perform a robotic kidney tumour removal.

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals

Services

We provide comprehensive treatment for all types diseases under one roof. Our highly experienced doctors supported by especially trained clinical staff, ensure the best care for you.

Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

Outpatient Division

Outpatient Consultation for patients of all ages.
Measures to detect, prevent and stop progression of kidney diseases
Close follow-up and advice on management of different forms kidney diseases (along with the team of social workers, nurses and renal dieticians).

Outpatient & Day care Division

Outpatient Consultation for patients of all ages
Extracorporeal shock wave Lithotripsy for renal and ureteric stones
Flexible Cystoscopy for both diagnostic and therapeutic procedures
Transrectal Ultrasound guided prostrate biopsy
Minor procedures like urethral dilatation, suture removal, BCG installation

Minimal Access Robotic Surgery

Aster Medcity, for the first time in Kerala, introduces Robotic Surgery with da Vinci Robot- a highly advanced surgical Robot that performs minimally invasive surgeries with utmost precision. What can be called the next level in surgery, the da Vinci Robot has multi-limbed surgical robot with tiny wrists that bend in all directions, offering precision, dexterity and fine manipulation beyond that of human hand. The Surgeon performs minimally invasive surgeries by manipulating three robotic arms and a video camera that are inserted through small skin incisions, while seated in front of a computer console with 3D video screen and controls. The option of Robotic surgery is available in the Urology, Cardiothoracic, Gynaecology, Oncology, Gastroenterology, Bariatric and Paediatric Surgery Departments at Aster Medcity.

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

Are there any dietary changes required to prevent Kidney disease?

Kidney-friendly meal plan( Low salt diet-avoid consuming canned foods, Pickles)

Adequate Hydration,
Voiding self/over the counter medication,
Abstinence from smoking

What can I do to protect my kidneys?

Get regular health checkup done(especially when there is a family history), Blood pressure and Blood sugar levels.

How does high blood pressure affect the Kidney?

Your kidneys and circulatory system depend on each other for good health. High Blood pressure will damage the delicate functioning units of the kidney which do not filter blood well, Damaged kidneys fail to regulate blood pressure. It's a vicious cycle.

Is drinking a lot of water good for kidneys?

Adequate hydration is good for healthy kidneys(for eg: A 70 kg individual is supposed to drink 10 glasses of water(2.5 -3 L/day).

Can kidney failure be controlled?

Healthy lifestyle, good control of blood sugar and blood pressure, adherence to Medication.

What will a urologist do on the first visit?

They take your history and examine you. They also suggest few investigations as required.

What type of procedure does a Urologist perform?

When you visit a urologist, they’ll start by doing one or more of these tests to find out what condition you have:

Imaging tests, such as a CT Scan, MRI Scan, or Ultrasound, allow them to see inside your urinary tract.
They can order a cystogram, which involves taking x-ray images of your bladder.
Your urologist can perform a Cystoscopy. This involves using a thin scope called a cystoscope to see the inside of your urethra and bladder.
They can perform a post-void residual urine test to find out how fast urine leaves your body during urination. It also shows how much urine is left in your bladder after you urinate.
They can use a urine sample to check your urine for bacteria that cause infections.
They can perform urodynamic testing to measure the pressure and volume inside your bladder.
Urologists are also trained to perform different types of surgery. This may include performing:

Biopsies of the bladder, kidneys, or prostate.
A cystectomy, which involves removing the bladder, to treat cancer.
Extracorporeal shock-wave lithotripsy, which involves breaking up kidney stones so they can remove them more easily.
A kidney transplant, which involves replacing a diseased kidney with a healthy one.
A procedure to open a blockage.
A repair of damage due to injury.
A repair of urinary organs that aren’t well-formed.
A prostatectomy, which involves removing all or part of the prostate gland to treat prostate cancer.
A sling procedure, which involves using strips of mesh to support the urethra and keep it closed to treat urinary incontinence.
Transurethral resection of the prostate, which involves removing excess tissue from an enlarged prostate.
Transurethral needle ablation of the prostate, which involves removing excess tissue from an enlarged prostate.
A ureteroscopy, which involves using a scope to remove stones in the kidneys and ureter.
A vasectomy to prevent pregnancy, which involves cutting and tying the vas deferens or the tube sperm travel through to produce semen.
 

Is there surgery required for the removal of stones?

In modern management of renal stone disease, open laparotomy is seldom required as urolithiasis (kidney/ureter/bladder stones) can be dealt with endoscopically.

When is dialysis required?

Dialysis is required once the cumulative GFR falls below 15ml/min/1.73 sq meter BSA. Emergency dialysis may be required for uremic complications of 

  • Hyperkalemia
  • Severe metabolic acidosis
  • Fluid overload with pulmonary edema
  • Uremic pericarditis
  • Uremic encephalopathy
     

What should be the lifestyle to avoid kidney problems?

A balanced diet, no smoking, abstinence or modest alcohol consumption, adequate fluid intake depending on ambient weather conditions, salt restriction in diet, good glycemic control in diabetes and optimal control of BP in hypertension, regular exercise to avoid obesity are some of the measures to avoid kidney problems.

How can urinary incontinence be managed?

Essentially managed by urologists who are surgeons to the kidneys and genitourinary tract, incontinence can be managed alternatively with certain drugs and neurosurgical procedures where necessary.

What disease does a nephrologist treat?

All primary diseases of the kidney and renal diseases secondary to other diseases fall in the realm of nephrologists. To name a few, acute nephritis, Nephrotic syndrome, AKI, CKD, UTI, obstructive uropathy, nephrolithiasis, hypertension, renal tubular disorders, and asymptomatic urinary abnormalities.

Why tests do nephrologists perform?

Kidney biopsy

What is MD in internal medicine?

MD internal medicine is a recognized postgraduate degree conforming to the stringent criteria of NMC (earlier medical council of India). The MD qualified doctors are permitted to practice and treat all medicine cases sans 
interventions in cardiology or endoscopy in gastroenterology or performing dialysis in chronic kidney diseases.  
 

What is the difference between internal medicine and general practice?

General practitioners are MBBS graduates who practice fundamental aspects of medicine, surgery to name a few.

What procedures do internal medicine doctors do?

Generally simple procedures like Pleural aspiration, peritoneal aspiration, pericardial aspiration. Ultrasound-guided aspiration of the Liver abscess, CSF analysis by spinal Tap, bone marrow aspiration, and biopsy can be done.

What to do while taking internal medicine treatment?

Just follow the prescription and, if required by follow up teleconsultation.

How is early-stage CKD treated?

Low Protein Diet, Low salt diet, keeping Blood Sugars and Blood Pressure under control, maintaining BMI<23 kg/m2.

Is there a diet that is good for kidneys?

Low protein and low salt diet. By reducing protein intake, people with kidney disease who are not on dialysis can reduce stress on their kidneys and prevent the buildup of urea in the bloodstream. Limiting sodium can help lower the risk of developing hypertension, cardiovascular disease, congestive heart failure and chronic kidney disease.

Lower-protein foods: Bread, Fruits, Vegetables, Pasta and rice.
Avoid higher-protein foods: Red meat, Poultry, Fish, Eggs.
Low Potassium and low phosphorus foods.

What habits damage the kidney?

Obesity, Physical inactivity, Smoking, less intake of water, abusing salt shaker, eating processed food, eating too much meat and too much food high in sugars, Heavy alcohol drinkers, pain killer abuse.

How is Diabetes control related to my kidney function?

With diabetes, the small blood vessels in the kidney are injured, your kidneys cannot clean your blood properly. The body of an individual will retain more water and salt than it should, which can result in weight gain and ankle swelling. You may have protein in your urine. Also, waste materials will build up in your blood.

Is there a surgery required for removal of stones?

The need for surgery is decided based on the size of the stone, their location and obstruction caused by the stones.

How long Does it take to heal from Cystoscopy?

These symptoms should get better in 1 or 2 days. You will be able to go back to work for usual activities in 1 or 2 days

When should I consult a Urologist?

Have blood in your urine (Hematuria).
Experience consistent pain or burning while urinating, which could indicate a Urinary Tract Infection (UTI).
Have a frequent need to urinate or have difficulty urinating.
Experience incontinence.
Have frequent UTIs.
Have severe constipation.
Conditions exclusive to men include problems with getting or keeping an erection; anything related to fertility; an elevation or change in your prostate-specific antigen (PSA); an abnormal prostate exam or a testicular mass or persistent pain. Prostate cancer is the most common cancer among American men, yet in its early stages, prostate cancer often has no symptoms.

Women experience urological problems differently, such as urinary incontinence and urinary tract infections. They also may have a urinary fistula, pelvic organ prolapse, and voiding dysfunction.

Can something be done to prevent the recurrence of stones?

Relevant dietary advice, including liberal fluid intake, can mitigate the recurrence of renal stones to a considerable extent.

Can kidney failure be controlled?

Kidney failure can be controlled, and its progression can be slowed done for a period with good conservative measures for chronic kidney disease. However, the final outcome is almost always ending stage renal disease (ESRD) requiring renal replacement therapy (RRT). Early detection of diabetic kidney disease at the stage of microalbuminuria can be reversed with diligent treatment and regular follow-up.

What is end-stage renal disease?

ESRD is a stage in the progression of chronic kidney disease, and the kidneys are no longer capable of carrying out their function to maintain the milieu interior. Renal replacement therapy (regular dialysis and transplantation) is the only option to preserve life.

Which test can a nephrologist recommend?

Since kidneys are essential for optimal functioning of all organ systems by maintaining the milieu interior, a nephrologist can and does order all the investigations in a clinician’s armamentarium.

What do nephrologists do on the first visit?

Detailed history taking, complete physical exam, recording of BP and BMI, and ordering of investigations (based on provisional diagnosis), including a mandatory complete urine examination and basic USG for kidneys.

Is there surgery required for the removal of stones?

In modern management of renal stone disease, open laparotomy is seldom required as urolithiasis (kidney/ureter/bladder stones) can be dealt with endoscopically.

Do internists perform surgery?

Internists do not perform any surgeries since it is the domain of surgical specialty.

What does a doctor in internal medicine do?

Internal Medicine doctors practice various illnesses related to all sub-branches of Internal Medicine.

What is the difference between internal medicine and primary care?

MBBS graduates give primary care, and the practice of Internal medicine involves secondary care, and tertiary care is given by super-specialist.

Is dialysis the only option if I develop ESRD?

Unless renal transplant is envisaged and planned patient has to be on maintenance dialysis either or hemodialysis.

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