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Nephrology

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At Metro, Nephrology department provides comprehensive care across the spectrum of kidney diseases. Our team of experienced doctors is recognised for their superior clinical skills and treats all categories of patients from children to elders. Nephrologists can work with you to help diagnose and treat the following conditions:

  • Blood or protein in urine
  • Chronic kidney disease
  • Kidney stones, although a urologist may also treat this
  • Kidney infections
  • Kidney swelling due to glomerulonephritis or interstitial nephritis
  • Kidney cancer
  • Polycystic kidney disease
  • Hemolytic uremic syndrome
  • Renal artery stenosis
  • Nephrotic syndrome
  • End-stage kidney disease
  • Kidney failure, both acute and chronic

DIALYSIS :

The function of the kidneys is to filter the blood by removing waste and excess fluid from your body. This waste is sent to the bladder to be eliminated when you urinate. Dialysis is a treatment that filters and purifies the blood using a machine. This helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. Dialysis has been used to treat people with kidney problems.

There are different types of dialysis :

Hemodialysis : Hemodialysis is the most common type of dialysis. This process uses an artificial kidney (hemodialyzer) to remove waste and extra fluid from the blood. The blood is removed from the body and filtered through the artificial kidney. The filtered blood is then returned to the body with the help of a dialysis machine.
To get the blood to flow to the artificial kidney, your doctor will perform surgery to create an entrance point (vascular access) into your blood vessels. The three types of entrance points are:

  • Arteriovenous (AV) fistula. This type connects an artery and a vein. It’s the preferred option.
  • AV graft. This type is a looped tube.
  • Vascular access catheter. This may be inserted into the large vein in your neck.Both the AV fistula and AV graft are designed for long-term dialysis treatments. People who receive AV fistulas are healed and ready to begin hemodialysis two to three months after their surgery. People who receive AV grafts are ready in two to three weeks. Catheters are designed for short-term or temporary use.

Hemodialysis treatments usually last three to five hours and are performed three times per week. However, hemodialysis treatment can also be completed in shorter, more frequent sessions.

Peritoneal dialysis : Peritoneal dialysis involves surgery to implant a peritoneal dialysis (PD) catheter into your abdomen. The catheter helps filter your blood through the peritoneum, a membrane in your abdomen. During treatment, a special fluid called dialysate flows into the peritoneum. The dialysate absorbs waste. Once the dialysate draws waste out of the bloodstream, it’s drained from your abdomen. This process takes a few hours and needs to be repeated four to six times per day. However, the exchange of fluids can be performed while you’re sleeping or awake.


There are numerous different types of peritoneal dialysis. The main ones are :

  • Continuous ambulatory peritoneal dialysis (CAPD). In CAPD, your abdomen is filled and drained multiple times each day. This method doesn’t require a machine and must be performed while awake.
  • Continuous cycling peritoneal dialysis (CCPD). CCPD uses a machine to cycle the fluid in and out of your abdomen. It’s usually done at night while you sleep.
  • Intermittent peritoneal dialysis (IPD). This treatment is usually performed in the hospital, though it may be performed at home. It uses the same machine as CCPD, but the process takes longer.

We offer the most advanced diagnostics, comprehensive pre-operative evaluation and dialysis support, the latest facilities available in surgical procedures, and complete post-operative care to minimize the chances of infection.



Meet Our Team

Dr. Vishal Vadhera

M.D.,D.N.B. (Nephrology)

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