End-Stage Renal Disease Care Program

Overview

Children's Hospital Medical Center of Cincinnati has cared for children with end-stage renal disease for more than 30 years, and our nephrologists and surgeons are in the forefront of clinical research for children with end-stage renal disease.

Areas of Emphasis

  • Managing children whose renal failure is accompanied by severe congenital anomalies and/or bladder dysfunction. Using a team approach to nutrition, growth promotion, and staged surgical repair, with attention to maintaining access to dialysis, the end-stage renal disease team has successfully rehabilitated a number of children with devastating anomalies.
  • Staged surgical procedures, including bladder augmentation or replacement; creation of a Mitrofanoff neourethra; urinary and bowel incontinence repairs; and nephrectomy.
  • Developing and monitoring clinical guidelines for childhood renal transplantation.

End-Stage Renal Disease Program Highlights

  • Performed the first pediatric kidney transplant in Ohio, as well as one of the first in the nation
  • One of the first in the United States to provide comprehensive end-stage renal disease services for children
  • Performed the first total urinary tract replacement, including creation of a neobladder and neourethra followed by renal transplant
  • Performs an average of 15 renal transplants a year, with both living and cadaveric donors
  • Follows about 150 post-transplant patients
  • Provides approximately 20 children throughout the year with dialysis treatment