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Our multidisciplinary team - including nephrologists, clinical nurse specialists, social workers, a pharmacist, psychologist, and nutritionist - provides comprehensive medical consultations and evaluations for children with renal diseases, electrolyte disorders and hypertension. Here, you'll find superb clinical care and an equal measure of understanding and compassion. Our physicians and staff are known for their ability to diagnose, treat and care for children with all forms of kidney disease, including congenital anomalies of the kidneys and urinary tract. Our division is consistently ranked as one of the top programs in the nation by U.S. The Division of Nephrology at Children's Hospital of Philadelphia (CHOP) provides your child with world-class care for and treatment of chronic kidney disease. When congenital anomalies of the kidneys and urinary tract are not detected early, or in cases when treatment is unable to prevent serious damage to the kidneys, kidney failure may require treatment with: In cases of severe ureter or urethra blockage, treatment may include: Surgery to reattach the ureter to the bladder, creating an opening that closes when the bladder is full, or other procedures to help prevent reflux.Antibiotics to prevent urinary tract infections, which, with urine backflow, might otherwise spread to the kidneys and the bloodstream.When vesicoureteral reflux is found, treatment may include: In other cases, treatment ranging from medication to surgery may be needed to maintain health. People can live healthy lives with partial kidney function or a single kidney. Even when one kidney is missing or damaged, no treatment may be needed.

Children often outgrow minor problems with urine flow through the ureters and urethra.

Urine test to check for the presence of protein.Blood tests to look for low red blood cells (anemia) or electrolyte abnormalities.If the problem is not detected at birth, but is found later in childhood, additional tests may be done to understand the condition of the kidneys and assess possible loss of kidney function. Renal scan - a nuclear imaging test to assess kidney function and the drainage of urine.

Voiding cystourethrogram (VCUG) - an imaging test using X-rays and marker material or dye to see how urine is flowing into and out of the bladder.

Ultrasound, CT scan or MRI of the kidneys and urinary tract.

Blood test to estimate the kidneys’ function (glomerular filtration rate or GRF).

Center for Fetal Diagnosis and Treatment for a thorough prenatal evaluation to help determine the best course of treatment and any special care your baby may need before, during and after birth.ĭepending on the severity of the problem as seen in imaging studies, additional tests are done in the days or weeks after birth. At Children's Hospital of Philadelphia, you and your unborn baby will be seen in our Richard D. To ensure an accurate diagnosis, it is important to visit a fetal therapy center with a multidisciplinary team experienced in evaluating pregnancies affected by kidney or urinary tract anomalies. At the Wood Center for Fetal Diagnosis and Treatment, you and your baby are in the hands of one of the most experienced fetal programs in the world.