Kind attn: Divesh Nath Name: Sudha Hariharan A/c No: 424 Date: May10,2010 Need to encourage more Swap Kidney Transplant operations ( Box Item)

For WE
Kind attn: Mr Divesh Nath


Name: Sudha Hariharan

A/c No 424

Date: March 17,2010



Nursing: Gaining popularity as a profession of choice


With the growth of the health industry, the demand for nurses is also increasing making a career in nursing very attractive. Nursing includes a wide range of responsibilities and functions. At the initial levels, the nurses take general care of patients, are engaged in dispensing medication, setting up and operating medical equipment, keeping records of patient's progress and administration.

Nurses and nursing assistants form the largest group of workers in health sector. They are required in the hospitals and health centers right from general ward to operation theatre.

With increasing health consciousness in India, the quality of health services has improved. Skilled and specialized nurses are in high demand by the health organizations
and nurses can get excellent employment opportunities in government or private hospitals, clinics, nursing homes, orphanages, old age homes, military services, industries and schools.

Majority of the nurses in India go abroad. Most of the nurses working throughout the world are from the Indian state of Kerala. Skilled nurses can also get the employment in specialized fields like Surgical, Medical, ICU, Telemetry and ER. Nursing today is not been given the importance in healthcare as it was three decades ago. The backbone of quality healthcare is still nursing. While a surgeon may perform a good operation if this is not backed up by excellent nursing then the ultimate result is mediocre. Nursing, in our country as well as in other countries, is undergoing a transition and is being looked upon increasingly as a profession of choice.








Ms Sheeja Kanade, recently appointed as principal of HiCON (Hiranandani College of Nursing) is an eminent personality in Nursing Education since the last 7 years. Previously associated with Terna Nursing College, MG M College of Nursing, Bombay Hospital College of Nursing, Mumbai, Leelabai Thackersey College of Nursing, Mumbai, her mission is to foster health and well -being through excellence in nursing education, practice and service. Armed with MSc Nursing degree, she has had a fulfilling and successful career spanning different areas of business and involving numerous skills
Here she answers a few pertinent and frequently asked questions:
What are the basic education qualifications necessary to join nursing course?
An individual should be HSC passed with Science stream, should have scored 45per cent and above in Physics, Chemistry, Biology and English. Qualifying a CET or Associate CET exams in Maharashtra is preferred .
What qualities are essential for someone who wants to take up nursing?
“ I believe that nursing is a diverse and rewarding practice a discipline that combines compassion with sophisticated health technology. Nurses design, manage, and coordinate care for individuals, families, groups, communities, and larger populations. They help people meet basic health needs, adapt to physical changes, recover from illness, and die with dignity.”
“Compassion, empathy, emotional stability, good communication skills, confidence, honesty, dedication, a cheerful, alert and pleasant demeanour are some of the basic qualities a person aspiring to be a nurse should have.”




“Nursing field is physically and mentally demanding and involves some risk factors such as exposure to infectious diseases. This profession requires long hours of work. The nurses should be courageous enough to handle all kinds of patients. They should be ready for night shifts and to extend their duties in emergency cases”, she adds.

Why are Indian nurses so much in demand and why are most of them from Kerala?
Indian nurses are in demand the world over because they are educated, professional well- trained, emotionally stable and dedicated. Most of them are from Kerala because of the high rate of literacy among women there, their dedication and caring attitude.
Are they well paid in India and abroad?
They are definitely better paid overseas.
What are the major advantages of opting for nursing?
The main advantage is that they can be recruited immediately after completion of studies. A graduate in nursing has immense overseas opportunities in western countries and the Gulf. There is also scope for higher and specialized education and training.
What health risks do they commonly face?
The most common risk they face is infection . This also depends on the area of function.

Do hospitals here provide for health check-ups for nurses in their employ?
hospitals do, others do not. The policy regarding regular check-ups varies from hospital to hospital




Tell us about HICON and its vision…..

I am really delighted to highlight Hiranandani college of Nursing (HiCON) as a unique College of Nursing established in the year 2009 affiliated to Maharashtra University of Health Sciences and recognized by Indian Nursing Council and State Nursing Council. Our focus is on overall development of an individual geared towards addressing not only the ongoing health challenges but also emerging health issues of the 21st century.HiCON will strive to be positioned in the top five nursing colleges in India by 2014 and to be the best in professional training.

The infrastructure is matchless, the training aids are frontline and have been procured from the very best vendors and there is; also a college hostel provided.The course curriculum at HiCON is in line with the Indian Nursing Council. Additionally they propose to introduce a Diploma Course in Health Management to arm students with a management degree. This it will give them an option to pursue a career in health management, if at some time they would like to give up nursing. The college will train students in B.Sc (Nursing) with further scope for M.Sc (Nursing) or Ph.D, if they so desire.















For WE
Kind attn: Mr Divesh Nath


Name: Sudha Hariharan

A/c No 424

Date: March 17,2010



Nursing: Gaining popularity as a profession of choice


With the growth of the health industry, the demand for nurses is also increasing making a career in nursing very attractive. Nursing includes a wide range of responsibilities and functions. At the initial levels, the nurses take general care of patients, are engaged in dispensing medication, setting up and operating medical equipment, keeping records of patient's progress and administration.

Nurses and nursing assistants form the largest group of workers in health sector. They are required in the hospitals and health centers right from general ward to operation theatre.

With increasing health consciousness in India, the quality of health services has improved. Skilled and specialized nurses are in high demand by the health organizations
and nurses can get excellent employment opportunities in government or private hospitals, clinics, nursing homes, orphanages, old age homes, military services, industries and schools.

Majority of the nurses in India go abroad. Most of the nurses working throughout the world are from the Indian state of Kerala. Skilled nurses can also get the employment in specialized fields like Surgical, Medical, ICU, Telemetry and ER. Nursing today is not been given the importance in healthcare as it was three decades ago. The backbone of quality healthcare is still nursing. While a surgeon may perform a good operation if this is not backed up by excellent nursing then the ultimate result is mediocre. Nursing, in our country as well as in other countries, is undergoing a transition and is being looked upon increasingly as a profession of choice.








Ms Sheeja Kanade, recently appointed as principal of HiCON (Hiranandani College of Nursing) is an eminent personality in Nursing Education since the last 7 years. Previously associated with Terna Nursing College, MG M College of Nursing, Bombay Hospital College of Nursing, Mumbai, Leelabai Thackersey College of Nursing, Mumbai, her mission is to foster health and well -being through excellence in nursing education, practice and service. Armed with MSc Nursing degree, she has had a fulfilling and successful career spanning different areas of business and involving numerous skills
Here she answers a few pertinent and frequently asked questions:
What are the basic education qualifications necessary to join nursing course?
An individual should be HSC passed with Science stream, should have scored 45per cent and above in Physics, Chemistry, Biology and English. Qualifying a CET or Associate CET exams in Maharashtra is preferred .
What qualities are essential for someone who wants to take up nursing?
“ I believe that nursing is a diverse and rewarding practice a discipline that combines compassion with sophisticated health technology. Nurses design, manage, and coordinate care for individuals, families, groups, communities, and larger populations. They help people meet basic health needs, adapt to physical changes, recover from illness, and die with dignity.”
“Compassion, empathy, emotional stability, good communication skills, confidence, honesty, dedication, a cheerful, alert and pleasant demeanour are some of the basic qualities a person aspiring to be a nurse should have.”




“Nursing field is physically and mentally demanding and involves some risk factors such as exposure to infectious diseases. This profession requires long hours of work. The nurses should be courageous enough to handle all kinds of patients. They should be ready for night shifts and to extend their duties in emergency cases”, she adds.

Why are Indian nurses so much in demand and why are most of them from Kerala?
Indian nurses are in demand the world over because they are educated, professional well- trained, emotionally stable and dedicated. Most of them are from Kerala because of the high rate of literacy among women there, their dedication and caring attitude.
Are they well paid in India and abroad?
They are definitely better paid overseas.
What are the major advantages of opting for nursing?
The main advantage is that they can be recruited immediately after completion of studies. A graduate in nursing has immense overseas opportunities in western countries and the Gulf. There is also scope for higher and specialized education and training.
What health risks do they commonly face?
The most common risk they face is infection . This also depends on the area of function.

Do hospitals here provide for health check-ups for nurses in their employ?
hospitals do, others do not. The policy regarding regular check-ups varies from hospital to hospital




Tell us about HICON and its vision…..

I am really delighted to highlight Hiranandani college of Nursing (HiCON) as a unique College of Nursing established in the year 2009 affiliated to Maharashtra University of Health Sciences and recognized by Indian Nursing Council and State Nursing Council. Our focus is on overall development of an individual geared towards addressing not only the ongoing health challenges but also emerging health issues of the 21st century.HiCON will strive to be positioned in the top five nursing colleges in India by 2014 and to be the best in professional training.

The infrastructure is matchless, the training aids are frontline and have been procured from the very best vendors and there is; also a college hostel provided.The course curriculum at HiCON is in line with the Indian Nursing Council. Additionally they propose to introduce a Diploma Course in Health Management to arm students with a management degree. This it will give them an option to pursue a career in health management, if at some time they would like to give up nursing. The college will train students in B.Sc (Nursing) with further scope for M.Sc (Nursing) or Ph.D, if they so desire.















For WE
Kind attn: Mr Divesh Nath


Name: Sudha Hariharan

A/c No 424

Date: March 17,2010



Nursing: Gaining popularity as a profession of choice


With the growth of the health industry, the demand for nurses is also increasing making a career in nursing very attractive. Nursing includes a wide range of responsibilities and functions. At the initial levels, the nurses take general care of patients, are engaged in dispensing medication, setting up and operating medical equipment, keeping records of patient's progress and administration.

Nurses and nursing assistants form the largest group of workers in health sector. They are required in the hospitals and health centers right from general ward to operation theatre.

With increasing health consciousness in India, the quality of health services has improved. Skilled and specialized nurses are in high demand by the health organizations
and nurses can get excellent employment opportunities in government or private hospitals, clinics, nursing homes, orphanages, old age homes, military services, industries and schools.

Majority of the nurses in India go abroad. Most of the nurses working throughout the world are from the Indian state of Kerala. Skilled nurses can also get the employment in specialized fields like Surgical, Medical, ICU, Telemetry and ER. Nursing today is not been given the importance in healthcare as it was three decades ago. The backbone of quality healthcare is still nursing. While a surgeon may perform a good operation if this is not backed up by excellent nursing then the ultimate result is mediocre. Nursing, in our country as well as in other countries, is undergoing a transition and is being looked upon increasingly as a profession of choice.








Ms Sheeja Kanade, recently appointed as principal of HiCON (Hiranandani College of Nursing) is an eminent personality in Nursing Education since the last 7 years. Previously associated with Terna Nursing College, MG M College of Nursing, Bombay Hospital College of Nursing, Mumbai, Leelabai Thackersey College of Nursing, Mumbai, her mission is to foster health and well -being through excellence in nursing education, practice and service. Armed with MSc Nursing degree, she has had a fulfilling and successful career spanning different areas of business and involving numerous skills
Here she answers a few pertinent and frequently asked questions:
What are the basic education qualifications necessary to join nursing course?
An individual should be HSC passed with Science stream, should have scored 45per cent and above in Physics, Chemistry, Biology and English. Qualifying a CET or Associate CET exams in Maharashtra is preferred .
What qualities are essential for someone who wants to take up nursing?
“ I believe that nursing is a diverse and rewarding practice a discipline that combines compassion with sophisticated health technology. Nurses design, manage, and coordinate care for individuals, families, groups, communities, and larger populations. They help people meet basic health needs, adapt to physical changes, recover from illness, and die with dignity.”
“Compassion, empathy, emotional stability, good communication skills, confidence, honesty, dedication, a cheerful, alert and pleasant demeanour are some of the basic qualities a person aspiring to be a nurse should have.”




“Nursing field is physically and mentally demanding and involves some risk factors such as exposure to infectious diseases. This profession requires long hours of work. The nurses should be courageous enough to handle all kinds of patients. They should be ready for night shifts and to extend their duties in emergency cases”, she adds.

Why are Indian nurses so much in demand and why are most of them from Kerala?
Indian nurses are in demand the world over because they are educated, professional well- trained, emotionally stable and dedicated. Most of them are from Kerala because of the high rate of literacy among women there, their dedication and caring attitude.
Are they well paid in India and abroad?
They are definitely better paid overseas.
What are the major advantages of opting for nursing?
The main advantage is that they can be recruited immediately after completion of studies. A graduate in nursing has immense overseas opportunities in western countries and the Gulf. There is also scope for higher and specialized education and training.
What health risks do they commonly face?
The most common risk they face is infection . This also depends on the area of function.

Do hospitals here provide for health check-ups for nurses in their employ?
hospitals do, others do not. The policy regarding regular check-ups varies from hospital to hospital




Tell us about HICON and its vision…..

I am really delighted to highlight Hiranandani college of Nursing (HiCON) as a unique College of Nursing established in the year 2009 affiliated to Maharashtra University of Health Sciences and recognized by Indian Nursing Council and State Nursing Council. Our focus is on overall development of an individual geared towards addressing not only the ongoing health challenges but also emerging health issues of the 21st century.HiCON will strive to be positioned in the top five nursing colleges in India by 2014 and to be the best in professional training.

The infrastructure is matchless, the training aids are frontline and have been procured from the very best vendors and there is; also a college hostel provided.The course curriculum at HiCON is in line with the Indian Nursing Council. Additionally they propose to introduce a Diploma Course in Health Management to arm students with a management degree. This it will give them an option to pursue a career in health management, if at some time they would like to give up nursing. The college will train students in B.Sc (Nursing) with further scope for M.Sc (Nursing) or Ph.D, if they so desire.














Kind attn: Divesh Nath
Name: Sudha Hariharan
A/c No: 424
Date: May10,2010
Need to encourage more Swap Kidney Transplant operations ( Box Item)
There is a major need to encourage more Swap kidney transplant operations in the country, which is vital for needy patients who have lined up for transplant operations. This was the message sent out by nephrologists assembled at a kidney transplant awareness programme on the occasion of World Kidney Day.

In a swap kidney transplant, a mutual understanding is reached between two families, where the healthy member donates one of his kidney’s to the needy member of the other family and vice versa. Even in western countries, more number of people opt for swap transplants due to more relaxed regulations.

“Today strict regulations from the government are not allowing more swap transplants. Consequently many patients have to wait for a long time, as they are dependent only on cadaver transplants (transplant from a brain dead person). I am sure if the rules are simplified, we will have more number of families opting for swap transplants,” said Dr Haresh Dodeja, Nephrologist & Transplant physician at Fortis Hospital.

“In the last 2 years Fortis has taken a lead in harvesting large number of cadaver kidney donations and we are proud of our contribution to the city. We would like to continue to do good work and the next step would be to initiate swap transplant to tide over



shortage of donors in the current scenario of nuclear families with limited numbers of donors in the family,” said Dr. Dodeja.

We have come a long way from the days of cadaver transplant, where the immediate recovery of kidney function was delayed, and the patient required 4-6 weeks to normalize and get discharged, adding to the costs of the transplant. Today we have managed to successively do cadaver transplants simulating live donor conditions, and achieving immediate graft function, and quick recovery without dialysis, and a fast discharge, saving on the costs considerably.”

Dr Dodeja who is the clinical coordinator for the dialysis and transplant services believes that a good integrated system of involving the ICU team, social workers and regular awareness programs by nephrologists will go a long way in the success of a cadaver transplant program.”

The Mumbai Nephrology Group has also decided to recognise ‘World Kidney Day’ on March 11, under the theme ‘Protect your Kidneys – Control Diabetes’. The aim of this program is to create awareness among patients, doctors and people at large about Diabetes and Kidney diseases.
In India, more than 2,000,000 patients are affected with renal failure and every year around 1, 00, 000 new patients are affected with end-stage renal failure (ESRD) that requires treatment, dialysis or transplant. Only 2 per cent of these patients can avail of dialysis treatment, 5 per cent get transplants and less than 0.5 per cent of these patients undergo peritoneal dialysis.
Maharashtra alone requires 10,000 kidney transplants per year, but only 2.5 per cent of these patients receive it.” The prevalence of chronic kidney disease (CKD) continues to increase worldwide, as does end - stage renal diseases. The most common cause of CKD is diabetes. Diabetic nephropathy affects a third of people suffering from diabetes,” said Dr. Hemant Mehta, of Mumbai Nephrology Group.


Diabetes is the most common cause of kidney failure. When people suffer from diabetes the excess glucose in the blood reacts with proteins to form compound which makes the nephron filters too porous or leaky. As a result, protein molecules begin to slip through the kidneys’ filters and into the urine leading to CKD.

Dialysis is an expensive treatment, and there is severe shortage of donated kidneys available for transplantation. Many patients therefore cannot afford end -stage renal failure treatment and hence the focus is on prevention. Simple, routine tests of urine and blood can show early signs of kidney problems. Once the problems are identified, patients can slow down and even stop chronic kidney disease, with medication and change in lifestyle habits.



























Kind attn: Mr. Divesh Nath

For Woman’s Era

Name: Sudha Hariharan

A/c No: 424

Date: May 10,2010

Teenagers too can be plagued by chronic kidney disease



Its not a disease that afflicts only adults. Chronic Kidney Disease (CKD) can plague teenagers too. Dr. Rajan Ravichandran ( Director-Nephrology ,MIOT Hospital Chennai)speaks at length on how CKD affects women and the youth and how the disease can be treated

The kidneys make urine from the waste products of the body. Most kidney infections start when bacteria get into the urethra, the tube used to urinate. The bacteria may spread to infect the kidneys.
For women, risk factors for kidney infections are the same as for bladder infections (cystitis). They include:
Having sex often
Using a spermicide for contraception
Having had cystitis in the last year
Having diabetes
Having blood pressure







Sometimes the symptoms do not occur at all initially but otherwise the symptoms of having kidney infections are:
high temperature with shivering
pain in the side
back ache
nausea, vomiting or diarrhea
the need to pass urine very often
urine may look cloudy or be a different color
loss of appetite


To measure kidney function, primary care doctors typically order a blood test called creatinine. The serum creatinine should also be plugged into a formula that gives an estimated kidney filtration rate (called glomerular filtration rate, or eGFR) which is a much more accurate estimate of kidney function. Women have a lower eGFR than men for the same level of serum creatinine. Thus, the same serum creatinine level that initially appears normal for both a man and a woman can translate into depressed kidney function for the woman, making her at higher risk for undetected kidney disease.



Young girls are particularly vulnerable and can experience impaired growth and abnormal menstrual cycles due to altered metabolism and hormone deficits.
can contribute to ovarian failure and premature menopause
decreased fertility and unsuccessful child births
pregnant women with CKD are also risk developing hypertension and kidney function loss

Kidney problems in Teenagers
Kidneys are responsible for removing waste and extra fluid from what you eat and drink from in the body. The nutrients you need remain in your body while the extra waste is filtered by the kidneys. Kidneys are made up of millions of tiny filters called nephrons which remove the unwanted fluids from the blood by creating urine. The urine travels down the ureters into the bladder and is stored until it is released through the urethra.The two most frequent causes for adults to develop chronic kidney disease are high blood pressure and diabetes. In teens these causes are uncommon. However, due to unhealthy eating habits leading to excessive weight gain, more young people are prone to diseases such as diabetes and high blood pressure, which can cause kidney disease later in life.
For most teens, CKD is caused by congenital disorders or diseases that develop such as:
Urinary problems, such as UTIs (urinary tract infection)
Reflux nephropathy
Nephrotic syndrome
Nephritis
The Urinary tract infection (UTI)
urinary tract consists of the urethra, the bladder, the ureters and the kidneys. Urinary tract infection (UTI) is caused when bacteria moves up into the bladder and multiplies. A bladder infection, or cystitis, is the most common UTI. Urinary tract infections are usually easy to diagnose in teens and adults.
Symptoms Symptoms include:
frequent, painful urination
inability to urinate despite the urge
urine that appears cloudy or has an unusual smell
blood in the urine
fever and flank or lower back pain if the kidneys are infected

To diagnose a UTI, a urine sample is taken to check for the growth of bacteria. If the teenager is given antibiotics, relief usually begins within 12 to 24 hours of treatment. If the UTI affects the kidneys, intravenous medications may be necessary, requiring teens to be hospitalized.
After treatment, the doctor will collect another urine sample to determine if the medicine has gotten rid of the infection. Since UTIs tend to come back again, the doctor may want your teen to be tested on a regular basis.
Advice to prevent the recurrence of UTIs include:
After voiding, girls and women should wipe from front to back to prevent contaminating the urethra with bacteria from the anal area.
Drinking plenty of water to flush the urinary tract
Not resisting the urge to urinate
Taking a shower instead of a bath


Reflux nephropathy

Reflux disorder is often diagnosed after a teenager has a UTI. It occurs when urine goes back up from the bladder to the kidney. This is due to a defect of the “valves” between the ureters and the bladder. Reflux can cause an infection to spread to the kidneys. This can be serious and may lead to kidney damage. About 30% of older children with UTIs will suffer from reflux disorder.
Sometimes surgery is done to correct reflux disorder, but most teens are treated with antibiotics. Teens diagnosed with reflux disorder usually recover after treatment. Typically, they do not have relapses. If kidney damage occurs, however, teens may get high blood pressure later in life. If one kidney is damaged, the risk of getting high blood pressure is 10%. If both kidneys have been injured, the risk rises to 20%. Most teenagers who experience reflux disorders do well and do not experience kidney damage.
Nephrotic syndrome

Nephrotic syndrome usually occurs in children aged 6 months to 5 years old, although it can happen at any age. Boys are two times more likely to suffer from nephrotic syndrome than girls. This occurs when the kidneys are diseased and unable to keep protein from leaking into the urine. It often appears for the first time after a child has had a cold or infection
.
The cause of nephrotic syndrome is unknown. Many researchers are working to determine its cause and develop treatments. Today, nephrotic syndrome is typically treated with the medicine prednisone, and most young people improve with its use. Sometimes doctors prescribe immunosuppressive medicines. Whichever medicine your doctor chooses, your child will be monitored closely and get periodic blood tests.
Although there is no cure for nephrotic syndrome, most young children do well with treatment, and many “outgrow” the disease by the time they reach their teens. Even when a child has frequent episodes, if he responds well to treatment then permanent kidney damage is not likely.
Nephritis

Nephritis is when the kidney becomes inflamed, sometimes due to infection or a disease in the immune system called systemic lupus erythematosus (SLE). When the kidneys become irritated, they pass protein and red blood cells into the urine, causing it to have a color which resembles cola.
Teenagers who get nephritis are treated and most get better over time. Medical treatment depends on the symptoms, and includes reducing the swelling, inflammation and lowering blood pressure.


Basic symptoms for CKD in teenagers
Consult your doctor if your teenager exhibits any of the following:
Unexplained low-grade fever
Swelling around the eyes, feet, and ankles
Lower back pain
High blood pressure
Persistent abdominal pain
Frequent severe headaches
Unpleasant-smelling urine
Urine that is cloudy, bloody or dark brown
Burning sensation when urinating
Poor appetite
Slow growth or weight gain
Weak urinary stream, dribbling or fanning of urine stream
Painful urination
Weakness, excessive tiredness or loss of energy
Pale skin or “washed out” appearance





















Kind Attn:
Mr. Divesh Nath
For WE

Name : Sudha Hariharan

A/c No: 424

Date: May 10,2010


Tackling kidney stones during pregnancy



A family physician who started his practice in 1958 from the heart of Delhi’s Chandni Chowk,Dr. B.S. Bansal was a man with vision. He wanted to do away with unnecessary surgery and long hospital stays and thus introduced the concept of Lithotripsy in India in 1987. Once again he introduced the concept of Holmium Laser for the treatment of enlarged prostate in 1999. He is a mentor for all Urologists across the world. He is popularly known as “Father of Lithotripsy”. Under the commendable guidance and leadership of Dr. Bansal, R G Stone has treated more than 1,00,000 patients.
DR. B.S. BANSAL,(CMD), RG Stones Urology and Laproscopy Hospital, talks about the unique, efficient and non-invasive treatment.

What would you do if you develop kidney stones during pregnancy?
Studies reveal that, “getting kidney stones during pregnancy is more likely for woman. A woman’s body goes through a number of hormonal and other changes during pregnancy. 1 of every 1500 pregnant women face kidney stones problem during their pregnancy. 80-90% are diagnosed in the first trimester.”
The changes that a woman’s body goes through during pregnancy create an environment for stone formation in urine. There is hypercalciuria during pregnancy which is extensive amount of calcium in the urine which leads to stone formation. 66-85% pregnant woman pass ureteric stone spontaneously with medical treatment.

Since X-Ray cannot be used, Ultrasound is first line of imaging study during pregnancy. Though kidney stone does not have a direct risk to foetus, but can pose problems for the mother and child such as:
* Pyonephrosis
* Infection causing growth retardation
* Abortion
* Premature labour during pregnancy
The aim is to remove the stone without harming the fetus- the risk to the fetus being through anesthesia and surgery. In such circumstances it becomes difficult to remove stones efficiently without harming the fetus.Utheroscopy with Holmium laser lithotripsy is a safe and efficient treatment in such situations. If URS is not possible then stenting can be done where the stent need to be changed every 4-6 weeks
What exactly is Pyronephrosis?
A. Pyonephrosis is a collection of pus in the kidney.






2. Are there any precautionary measures women can take to avoid this condition?
1) Drinking lots of water is of primary importance
2) If the patient is diabetic, control on sugar level needs to maintain.
3) If any kidney blockage or stone is there, take a expert doctors opinion.

3. What are the lines of treatment- ---how are they done?
. The treatment is through Uteruscopy and use of stents

1) Stenting is a procedure where a DJ stent is inserted through
natural passage which is fixed or interlock at a junction where the ureter
end to avoid infection to have a proper passage of urine and to dilate the
ureter.

2) In nephrostomy, you make a puncture and enter to kidney on your
flankside through a nephrostomy tube.
4. Is the treatment affordable?
Yes, the treatment costs 5-10 thousand only
5. Are women aware of this? Do gynecologists caution them of this? If this is such a common problem (pyonephrosis) for pregnant women, why are they not advised by their gynaecs? What can be done to create awareness?
Pyonephrosis is not very common for pregnant women, actually urinary tract infection is more common during pregnancy which can be dealt with by a gynaecologist .
6. Are there any simple home remedies to control the ailment?
No.

R G Stone has 17 branches across India and is Asia’s largest urology chain. R G employs the largest pool of super specialists under one roof and features in the Guinness Book of Records for removing the largest stone without surgery.










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