Nephrology
In the Department of Nephrology, the diagnosis and treatment services for kidney diseases in adults, the hemodialysis treatment services and the diagnosis and treatment services for hypertension are performed by the expert healthcare personnel, dialysis physicians and assistant professors in accordance with modern standards of medicine.
Within the scope of the treatment services in the nephrology unit, the nephrology consultation service is also offered, in addition to the patient diagnosis and treatment services, for the inpatients in the Department of Internal Diseases.
Besides, in the hemodialysis unit with the capacity of 30 dialyzers, which has been certified by ISO 9001 and designed in accordance with contemporary standards, an average of 25.000 sessions of hemodialysis is performed annually under the supervision of expert staff on the principle of three sessions/day .
Diagnostic and therapeutic services provided by hospital
- 24-hour urine analysis
- 24-hour blood pressure monitoring
- Voiding cystourethrography
- Renal Angiography and Angioplasty
- Hemodialysis procedure
- Hemodiafiltration procedures
- Transplantation preparation
- AV fistula operation, AV graft (artificial vessel) operation for use in hemodialysis.
- Transient and permanent hemodialysis catheter insertion procedure.
24 hour urine analysis
The urine analysis made for a 24-hour time period is of a great importance in the evaluation of the renal functions. For many patients applying to the Nephrology Unit, 24-hour urine analysis is performed to calculate the filtration capacity of the kidneys and the amount of protein lost in the kidneys. For this analysis, the urine collection for 24 hours is necessary. For this analysis: The 24-hour urine collection will start with the first urination when the patient wakes up in the morning. This urination will be made in the toilet; the collection of urine will performed from this time for all urinations during the day and the first urination in the following morning. The urine samples will be collected in a clean container. The collection procedure will be completed in the following day. All of the collected urines will be given to the Biochemistry Laboratory.
Renal Angiography and Angioplasty
In some patients, the cause of hypertension or renal dysfunction is renal stenosis. To diagnose this stenosis, the renal vessels should be evaluated by means of angiography. The angiography procedure is performed by the Department of Radiology.
Before renal angiography and angioplasty procedures; the blood tests should be performed to determine if there is a bleeding problem. The necessity of hospitalization for one day after the angiography, the necessity of groin shaving due to that the angiography procedure will be performed with vessels in inguinal region and the necessity of taking the cardiac and hypertension medications (if any) with a little amount of water without having breakfast in the morning of the first day of hospitalization for the procedure are significant information to be given to the patient before the operation. Bed rest for 24 hours after the procedure is recommended. In this process the patient will need a companion. In our hospital, the angiographic results are given to the patient on the following day.
Hemodialysis procedure
The hemodialysis is a clinical procedure for ensuring some functions of kidney for the patients with severe renal dysfunction. In this procedure, the urea and other substances accumulated in blood are filtered through a filter and removed from the body. The physician should inform the patient of the necessity of this procedure and whether it will be performed or not.
Performance of the hemodialysis procedure requires a vascular access. This is ensured through the connection of two veins in the wrist (fistula) or introducing a catheter into a large vein in the neck. Fistula is the most preferred type of vascular access for patients who need a long-term hemodialysis treatment. Since the fistula becomes usable within at least 2-3 weeks, preparation for hemodialysis should be done before the operation. Catherer should be applied for emergency hemodialysis and for the patient with no or impaired fistula.
Dialysis is a procedure which generally takes 4 hours. During this time, the patient lies on a bed and is dialyzed by means of the machine.
Transplantation Preparation and Follow-up after Transplantation
Kidney transplantation is classified as living or deceased-donor. In order to carry out this process, the recipients and donors are examined in detail and are subjected to the required tests.
In our hemodialysis center, the patients who receive the dialysis treatment and have no medical disability for the kidney transplantation are examined regularly and included in the waiting list.
