The Department of Nephrology at Erdem Hospital provides specialized diagnosis and treatment services for kidney diseases in adults, comprehensive hypertension management, and advanced hemodialysis treatments. All procedures are conducted by expert healthcare professionals, including dialysis physicians and assistant professors, adhering to contemporary medical standards. Our nephrology unit also offers specialized consultation services for inpatients in the Department of Internal Diseases.

Hemodialysis Unit

Erdem Hospital’s Hemodialysis Unit, certified with ISO 9001, is designed to meet modern medical standards. With a capacity of 30 dialyzers, the unit performs approximately 25,000 hemodialysis sessions annually, adhering to the principle of three sessions per day under expert supervision.

Diagnostic and Therapeutic Services

The hospital offers a wide range of diagnostic and treatment options for kidney-related conditions, including:

  • 24-hour urine analysis
  • 24-hour blood pressure monitoring
  • Voiding cystourethrography
  • Renal angiography and angioplasty
  • Hemodialysis and hemodiafiltration procedures
  • Kidney transplantation preparation
  • AV fistula and AV graft procedures for hemodialysis
  • Transient and permanent hemodialysis catheter insertion

Detailed Explanation of Key Procedures

24-Hour Urine Analysis

A critical diagnostic tool for evaluating kidney function, this test helps assess the filtration capacity of the kidneys and detect protein loss. The patient must collect urine over a full 24-hour period, starting with the first urination in the morning (which is discarded). Subsequent urinations are collected in a clean container, and the final collection is the first urination of the following morning. The complete sample is then analyzed in the Biochemistry Laboratory.

Renal Angiography and Angioplasty

Renal artery stenosis can cause hypertension and kidney dysfunction. Angiography evaluates renal blood vessels and is performed by the Department of Radiology. Pre-procedure requirements include:

  • Blood tests to rule out bleeding disorders.
  • Shaving of the groin area as the procedure is performed via inguinal vessels.
  • Fasting on the day of the procedure, though cardiac and hypertension medications may be taken with minimal water.
  • Hospitalization for one day.
  • Post-procedure bed rest for 24 hours, during which a companion is required.
  • Results are provided the following day.

Hemodialysis Procedure

For patients with severe kidney dysfunction, hemodialysis replicates essential kidney functions by filtering urea and other toxins from the blood.

  • Vascular Access: Either an AV fistula (preferred for long-term dialysis) or a catheter (used for emergencies or patients without fistulas) is required.
  • Session Duration: Each hemodialysis session typically lasts four hours.
  • Patient Experience: Patients remain on a dialysis machine while lying on a bed.

Kidney Transplantation Preparation and Follow-Up

Kidney transplantation is categorized into living-donor and deceased-donor transplants. Patients receiving dialysis who are eligible for transplantation undergo comprehensive evaluations and are placed on the transplant waiting list at Erdem Hospital. Regular follow-ups ensure optimal health conditions before and after the transplantation.

Frequently Asked Questions (FAQs)

What are the early signs of kidney disease?

Common symptoms include swelling in the legs and face, fatigue, frequent urination (especially at night), high blood pressure, foamy urine (indicating protein loss), and unexplained weight loss.

When should I consider hemodialysis?

Hemodialysis is recommended when kidney function falls below 15% of normal capacity, or if symptoms such as severe swelling, uncontrolled blood pressure, or electrolyte imbalances develop.

Is hemodialysis painful?

The procedure itself is not painful, though minor discomfort may occur when inserting the needles into the fistula or catheter.

How long can a patient live on dialysis?

Many patients live for decades on dialysis, particularly with good medical management and a healthy lifestyle.

Can I eat and drink normally during hemodialysis?

A restricted diet is recommended to prevent complications. Patients should limit salt, potassium, and phosphorus intake and follow individualized dietary plans provided by our dietitians.

What are the advantages of AV fistula over catheters?

AV fistulas provide better blood flow, lower risk of infection, and greater long-term durability, whereas catheters carry a higher risk of infection and clotting.

How is hypertension related to kidney disease?

Hypertension can cause kidney damage over time, leading to chronic kidney disease. Conversely, kidney disease can lead to high blood pressure due to fluid retention and hormonal imbalances.

What lifestyle changes can help protect kidney health?

  • Maintaining normal blood pressure and blood sugar levels
  • Staying hydrated but avoiding excessive fluid intake
  • Following a low-salt, kidney-friendly diet
  • Exercising regularly
  • Avoiding unnecessary use of NSAIDs (painkillers)

What should I expect after kidney transplantation?

After transplantation, patients must take immunosuppressive medications for life to prevent rejection. Regular check-ups, blood tests, and a healthy lifestyle are essential for long-term success.

Conclusion

Erdem Hospital’s Nephrology Department offers comprehensive, high-standard diagnostic and treatment services for kidney diseases, hypertension, and dialysis patients. Our expert team ensures patients receive the best possible care using modern medical technologies and international healthcare standards. Whether you require routine monitoring, dialysis, or transplant preparation, Erdem Hospital provides patient-centered nephrology services to ensure optimal outcomes.