Children are seen with a wide variety of general renal diseases, including reflux nephropathy, obstructive uropathy, glomerulonephritis, tubulopathies and cystic diseases of the kidney.
Children with urological problems are assessed by our nephrologist and paediatric surgeon.
Renal Dialysis/Transplant Clinic
Children with end-stage renal failure, currently undergoing dialysis or with a kidney transplant are assessed by the nephrologist, dialysis nurse, dietician, medical social worker and transplant co-ordinator.
Spina Bifida Clinic
Children with spinal cord problems resulting in ambulatory handicaps, neurogenic bladder, hydrocephalus with neurological handicaps are assessed by the nephrologist, paediatric surgeon, orthopaedic surgeon, neurologist, neurosurgeon, physiotherapist and medical social worker.
Acute Dialysis Service
An acute dialysis service, which includes peritoneal dialysis, intermittent haemodialysis and continuous renal replacement therapy, is offered for children with acute renal failure, hepatorenal failure, poisonings and inborn errors of metabolism.
Paediatric End-Stage Renal Disease Programme
The NUH Paediatric Renal Replacement Programme was started in 1988 with the objective of providing optimal and individualised treatment for every child with renal failure in Singapore.
The ultimate goal is to provide every child with a chance for a renal transplant. The dialysis programme is a home-based automated peritoneal dialysis programme. Since its inception, 46 children and adolescents have been on the programme.
As Singapore is a small country, the number of new cases each year is approximately three to four patients. The first living-related paediatric renal transplant was performed in 1989. Since then, 24 children have been transplanted, 16 of which were living-related transplants while 8 were cadaveric transplants.