Renal Medicine Overview

The Department sees a wide range of renal disorders from the early phases of renal disease to patients newly presenting with end stage renal disease. It maintains the most comprehensive nephrological service in Singapore. The various sub-specialty services include:

Clinical Nephrology

• Provides treatment for all types of renal diseases, in particular, IgA Nephritis and Lupus Nephritis
• Diabetic Nephropathy
  - Follow-up and treatment to retard progression of renal failure

Pre- End Stage Renal Disease Clinic

• Provides consultations on management of all aspects of chronic renal disease.
• Consultancy includes dietary referrals, ESRD counselling, psychological profiling and ambulatory blood pressure monitoring services

Hypertension Service

• Evaluation of new patients for secondary causes of hypertension
• Evaluation and treatment of essential hypertension
• 24-hour ambulatory blood pressure monitoring

Acute Renal Failure Service

• Provides acute renal replacement therapy for critically ill intensive care unit (ICU) patients requiring acute renal support.
• Dialytic therapy offered in the ICU includes
  - intermittent haemodialysis
  - continuous renal replacement therapy ( e.g. venovenous haemofiltration)

Chronic Renal Failure Service

• Initiates dialysis for chronic renal failure patients with end stage renal disease
• 20-station Dialysis Centre providing regular outpatient dialysis
• Provides inpatient haemodialysis for patients from other dialysis centres

Peritoneal Dialysis Service

• Offers an alternative modality of treatment for end stage renal disease
• Home-based therapy
• Prolongs residual renal function
• Cardiovascular-stable therapy

Renal Transplantation Service

• Evaluates suitable recipients and donors
• Investigation and treatment of patients with transplant rejection and complications
• Education programme for transplant recipients