Nanavati Max Institute of Renal Sciences & Transplant

The Dialysis Unit at the Nanavati Max Institute of Renal Sciences & Transplant offers the most comprehensive medical care in Mumbai for patients suffering from end-stage renal disease and acute renal failure. Our team of skilled nephrologists and trained dialysis staff use a multidisciplinary approach to diagnose, treat, and manage patients with a variety of chronic or acute chronic renal failure conditions requiring dialysis treatment. The dialysis unit is a state-of-the-art facility providing both hemodialysis and online haemodiafiltration as per AAMI standards. We follow a coordinated patient-centric multidisciplinary approach that starts right from the diagnosis and goes to kidney treatment and aftercare. Our doctors evaluate a patient’s condition by several considerations such as availability, convenience, underlying medical problems, and age, for hemodiafiltration.

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A kidney stone can cause anything from mild discomfort to sudden, severe pain, particularly when it moves into the urinary tract. At Nanavati Max Hospital's Kidney Stone Clinic in Mumbai, nephrologists, urologists, anaesthesiologists, and other supporting specialists work together to evaluate, diagnose, and treat kidney stones. The clinic also assesses the metabolic factors that may contribute to stone formation, helping develop a treatment and prevention plan suited to each patient's medical needs.  Why Patients Choose Nanavati Max for Kidney Stone Care Metabolic Evaluation for Stone Formation The Kidney Stone Clinic evaluates the metabolic profile of patients to identify factors contributing to stone formation. This assessment helps the medical team plan treatment and preventive measures according to the patient's individual needs. Multidisciplinary Kidney Stone Care The clinic brings together nephrologists, urologists, anaesthesiologists, and other support staff to provide coordinated evaluation and treatment for kidney stone conditions. Diagnostic and Therapeutic Facilities The Nanavati Max Institute of Renal Sciences & Transplant provides specialised facilities for the evaluation and treatment of kidney stones, including ultrasound, KUB, and lithotripsy. Multiple Treatment Approaches Depending on the size, location, and characteristics of the stone, treatment may include shock-wave lithotripsy, ureteroscopy, laser-assisted stone removal, or percutaneous nephrolithotripsy. The appropriate approach is selected based on the patient's clinical condition. Focus on Treatment and Prevention The Kidney Stone Clinic combines stone treatment with assessment of factors that may contribute to stone formation, helping address both the existing condition and measures that may reduce the risk of recurrence.  Symptoms of Kidney Stones Kidney stones may not cause symptoms while they remain within the kidney. Symptoms can develop when a stone moves into the ureter or interferes with urine flow. Common symptoms include: Severe or sharp pain in the back, side, lower abdomen or groin Pain or burning while passing urine A frequent or persistent urge to urinate Blood in the urine Nausea or vomiting Cloudy or foul-smelling urine in some cases Pain from a kidney stone can sometimes be confused with other causes of abdominal, flank or back pain. Medical evaluation can help determine whether a stone or another condition is responsible. What Causes Kidney Stones Kidney stones form when certain minerals and salts in urine become concentrated and crystallise. Calcium, oxalate and uric acid are among the substances that can contribute to stone formation. Factors that may increase the likelihood of developing kidney stones include: Low fluid intake and dehydration High dietary salt intake Certain dietary patterns Family history of kidney stones Overweight or obesity Some metabolic or medical conditions Certain urinary tract conditions and infections Previous kidney stones The factors involved can differ between individuals and according to the type of stone. This is why understanding the cause of recurrent or multiple stones can be an important part of long-term management. How Kidney Stones Are Diagnosed Diagnosis begins with a review of your symptoms, medical history and physical examination. The doctor may recommend imaging to identify the stone and assess its location and size. Depending on the clinical situation, investigations may include: Ultrasound KUB to assess the kidneys, ureters and bladder CT imaging where more detailed assessment is required Urine tests to identify abnormalities that may contribute to stone formation Blood tests to assess kidney function and relevant metabolic factors Metabolic evaluation in appropriate patients, particularly when recurrent or multiple stones require further assessment The exact investigations recommended depend on your symptoms, medical history and suspected cause of the stone. Nanavati Max's renal sciences service includes ultrasound KUB among its diagnostic facilities, while the Kidney Stone Clinic specifically states that it evaluates the metabolic profile of patients for stone causation. Treatment Options for Kidney Stones Treatment depends on the stone's size, location, symptoms, effect on urine flow, and the patient's overall health. Some smaller stones may pass without a procedure and can be managed with appropriate medical treatment and monitoring. Stones that are large, obstructive, symptomatic or unlikely to pass may require active removal. Depending on the clinical situation, treatment may include: Medical management and observation for selected stones that are likely to pass naturally Shock-wave lithotripsy (ESWL), which uses externally generated shock waves to break selected stones into smaller fragments that can pass through the urinary tract Ureteroscopy, where a thin scope is passed through the urinary tract to reach and remove or fragment a stone Laser-assisted stone removal, which uses laser energy to break stones into smaller fragments during endoscopic treatment Percutaneous nephrolithotripsy (PCNL), a minimally invasive procedure in which the stone is accessed through a small opening in the skin and removed or fragmented, generally for selected larger or more complex kidney stones The most appropriate approach is decided after assessing the stone's characteristics and the patient's symptoms, medical history, and overall health. Cost of Kidney Stone Treatment in Mumbai The cost of kidney stone treatment varies from one patient to another. It may depend on: Whether the stone can be managed conservatively or requires a procedure The size, number and location of the stones The treatment approach recommended Diagnostic investigations required before treatment Anaesthesia and related medical care Whether hospitalisation or postoperative observation is required For an individualised estimate, the recommended treatment and associated requirements can be discussed with the treating specialist after evaluation. Planning Your Visit If you are consulting the Kidney Stone Clinic for the first time, bring any previous imaging, laboratory reports, prescriptions and relevant medical records. A list of your current medicines can also help the doctor understand your medical history. If you have already been diagnosed or advised to undergo kidney stone treatment elsewhere, you can seek a second opinion and share your existing reports and scans with the specialist team. Nanavati Max's Kidney Stone Clinic provides an expert second-opinion pathway for patients. Frequently Asked Questions 1. How do kidney stones start? Kidney stones develop when certain minerals and salts in urine become concentrated and form crystals. These crystals can gradually grow into stones. Calcium, oxalate, and uric acid are among the substances that can contribute to stone formation. 2. Is kidney stone removal painful? The experience varies according to the treatment used and the individual patient. Several modern approaches to stone treatment are minimally invasive or non-invasive, including ESWL and ureteroscopy. The appropriate method depends on the size and location of the stone and other clinical factors. 3. What foods should I avoid if I have kidney stones? Dietary advice depends on the type of kidney stone and the factors contributing to its formation. General measures may include maintaining adequate fluid intake and avoiding excessive salt. For some patients, dietary changes involving oxalate or animal protein may also be recommended. There is no single kidney stone diet that is suitable for everyone. Your doctor may recommend dietary changes based on your stone analysis, medical history and metabolic evaluation. 4. Can I prevent kidney stones from coming back? The risk of recurrence can often be reduced by addressing factors that contribute to stone formation. Adequate fluid intake, appropriate dietary changes and management of underlying metabolic or medical conditions may help. At the Kidney Stone Clinic, metabolic evaluation is used to identify factors associated with stone formation and guide an individualised prevention plan where appropriate. 5. When should I see a doctor about kidney pain? You should seek medical evaluation for severe or persistent pain in the back, side or abdomen, particularly if it is accompanied by blood in the urine, difficulty passing urine, fever, chills, nausea, or vomiting. These symptoms may occur with kidney stones but can also indicate other urinary conditions that require assessment. Book your appointment today.

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The Kidney Transplant Unit at Nanavati Max Super Speciality Hospital is one of the best kidney transplant hospitals in Mumbai India with a dedicated unit, offering comprehensive care to patients diagnosed with kidney failure or End-Stage Renal Disease (ESRD) and require transplantation to enhance their quality of lives. Our kidney transplant team provides exceptional care with a compassionate touch, using evidence-based successful surgical techniques throughout the entire transplant process. Our unit is well-equipped with advanced diagnostic and therapeutic facilities, fully equipped operation theatres, state-of-the-art Intensive Care Unit that is manned by highly efficient nurses and doctors dedicated to delivering both pre-operative and post-operative care. The Kidney Transplant also termed Renal Transplant is a surgical procedure of replacing a diseased kidney with a healthy kidney, usually obtained from a donor. Generally, there are two types of donors: Living Donor: Usually a healthy person has two kidneys and is ready to donate one of his kidneys to a patient suffering from End-Stage Renal Disease (ESRD). Deceased Donor: A person declared brain dead by more than two doctors. Both the kidneys of these patients can be used for transplantation in patients suffering from End-Stage Renal Disease (ESRD). With an aim to offer a successful kidney transplant in Mumbai, India we are committed to providing quality care to kidney donors. We perform Laparoscopic Donor Nephrectomy too in order to ensure that a donor experiences minimal pain and benefits from early recovery. We at the unit offer various types of renal transplants:  Pre-emptive Kidney Transplant: Also termed as an early transplant, it is performed even before the patient starts showing symptoms of kidney failure. Highly Sensitized Kidney Transplant: This type of transplant helps patients with a high level of antibodies. The process involves the removal of antibodies that target a donor’s kidney, thereby allowing the kidney to be transplanted safely.  ABO-incompatible Kidney Transplant: In this process, the transplant of the kidney takes place even when the donor's blood type and patient’s blood type is not compatible. In this process, a patient receives medical treatment before and after the process in order to avoid organ rejection. Domino Kidney Transplant: Domino kidney transplantation is an effective alternative to ABO incompatible transplants. The process helps to match ABO incompatible donor–recipient pairs with eachother. Each incompatible donor gives a kidney to a recipient from matched pair, while their blood-relative, receives a compatible organ from another participating donor. At Nanavati Max Super Speciality Hospital, we maintain a nationwide registry in order to shortens waiting times and significantly improve success rates for hard-to-match patients. Kidney transplant surgery is performed under the effect of anesthesia and usually takes around two to four hours. During the surgery, the doctor makes an incision in the patient’s abdomen and places the donor kidney inside the right iliac fossa. They then connect the veins and arteries coming from the heart to the new kidney in order to start the flow of blood and also attach the new kidney’s ureter to the bladder for the urination process. A doctor leaves the original kidney inside the patient’s body and is only removed if it is infectious or causing problems.  After the surgery, the patient is closely monitored round-the-clock by a team of Nephrologists & Urologists for signs of recovery in the ICU. After the discharge, the patient is advised to wear a mask, take immunosuppressants, and resume work after 6 weeks.

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