Nephrology
Diagnosis, treatment, and follow-up of diseases of the kidneys and urinary system.
Department Overview
The Department of Nephrology at Zan Mitrev Clinic provides diagnosis, treatment, and follow-up of diseases of the kidneys and urinary system.
The department cares for patients with acute and chronic kidney disease, patients undergoing dialysis, as well as patients who are preparing for or have already undergone kidney transplantation.
The approach is individualized and based on collaboration with other specialties in order to provide comprehensive care for every patient.
Diseases and Conditions
The department diagnoses and treats:
Acute and chronic kidney disease
Glomerulonephritis
Diabetic and hypertensive nephropathy
Renovascular disease
Cardiorenal syndrome
Urinary tract infections
Kidney and urinary tract stones
Autoimmune kidney diseases
Nephrotic syndrome
Proteinuria and hematuria
Electrolyte and acid-base disorders
Hereditary kidney diseases
Preparation for dialysis
Preparation for and follow-up after transplantation
Kidney diseases during pregnancy
Assessment of the adrenal glands
Assessment of the prostate and urinary tract
Malignant kidney diseases
Diagnostics and Treatments
The Department of Nephrology uses modern diagnostic and therapeutic methods for accurate assessment of kidney function, early detection of disease, and long-term monitoring of patients.
Comprehensive evaluation of kidney function through measurement of creatinine, urea, electrolytes, proteins, and other metabolic parameters. Urine analyses help detect proteinuria, hematuria, infection, and other abnormalities.
Specialized analyses used in the diagnosis of autoimmune and inflammatory kidney diseases, including glomerulonephritis, vasculitis, and systemic diseases that affect the kidneys.
A non-invasive examination used to assess the size, structure, and position of the kidneys, bladder, and urinary tract, as well as to detect stones, cysts, obstruction, or other abnormalities.
Calculation of kidney filtration capacity in order to determine the stage of kidney disease and monitor progression over time.
Detailed measurement of protein, creatinine, electrolytes, and other substances in urine over a 24-hour period, providing important information about kidney function and disease severity.
Doppler ultrasound, CT, and other imaging methods are used to assess the blood vessels of the kidneys and detect renovascular disease, narrowing, thrombosis, or impaired circulation.
A precise diagnostic procedure performed in selected patients to obtain a small tissue sample from the kidney for microscopic analysis. It is especially important in the diagnosis of glomerular, autoimmune, and unexplained kidney diseases.
Treatment is individualized according to the diagnosis and may include:
Tailored treatment for kidney disease, high blood pressure, diabetes-related kidney disease, autoimmune conditions, and electrolyte disturbances.
Assessment of the patient’s condition and planning of the most appropriate vascular access before starting dialysis.
Surgical creation and monitoring of vascular access for patients requiring long-term dialysis.
Comprehensive evaluation of patients and donors, including laboratory, radiological, and immunological assessment.
Regular monitoring of kidney function, immunosuppressive therapy, and early detection of rejection or complications after transplantation.
Long-term monitoring of patients with chronic kidney disease in order to slow disease progression, prevent complications, and improve quality of life.
Technology and Equipment
The department is equipped with advanced medical technology that enables precise diagnosis, continuous monitoring, and effective treatment:
High-resolution ultrasound systems
modern ultrasound equipment for detailed assessment of the kidneys, urinary tract, blood vessels, and transplanted kidneys.CT diagnostics
advanced imaging technology used for detailed visualization of the kidneys, urinary tract, and surrounding structures, particularly in complex cases or before intervention.Modern laboratory diagnostics
fast and precise blood and urine testing, including biochemical, immunological, and serological analyses relevant to kidney disease.Kidney function monitoring systems
tools and software used for continuous monitoring of kidney function, laboratory parameters, and progression of chronic disease.Integrated electronic system
digital monitoring of medical history, laboratory results, imaging, and therapy, enabling coordinated and continuous patient care.
Patient Journey
The patient journey in the Department of Nephrology follows several clearly defined steps:
Consultation
Initial examination, detailed medical history, and assessment of symptoms by a nephrologist.
Diagnostics
Laboratory analyses and additional examinations to assess kidney function.
Diagnosis and Treatment Plan
Interpretation of results and definition of an individualized approach.
Treatment
Medication therapy, preparation for dialysis, or transplantation when necessary.
Follow-Up
Regular check-ups, long-term monitoring, and prevention of complications.
