Treatment methods

Different building blocks - depending on the stage of the disease

Kidney diseases are usually chronic diseases. At Schoen Clinic, that is why we pay particular attention to a trusting relationship between the consultant and patient. It forms the basis for the success of the renal insufficiency treatment and for the patient’s quality of life. Our renal failure treatment  is composed of various modules:
  • Treatment of the triggering underlying disease
  • Renal protection treatment to prevent advancement
  • Treatment of the actual renal insufficiency with its sequelae
  • Preparation and implementation of a kidney replacement treatment (dialysis, transplantation)

Conservative treatment methods

Renal insufficiency treatment without surgery: Treatment of the triggering underlying disease

At Schoen Clinic, we place great value on an accurate diagnosis, since a very specialised treatment is often required. Our experienced consultants therefore are always guided by the current state of research. With high blood pressure or diabetes, for example, it’s about finding the optimal approach to this pre-existing condition.

Kidney protection treatment – preventing the advancement of renal insufficiency

The advancement of a renal insufficiency can be delayed, and in some cases even stopped, through certain behaviours or the effective treatment of comorbidities. That is why we inform our patients extensively about possible precautionary measures (prophylaxis).

Treatment of the actual renal insufficiency and its sequelae

In addition to the renal insufficiency treatment, we pay particular attention to the consistent treatment of its sequelae. Many kidney functions can be supported or even replaced with targeted treatments. For example, blood formation is regulated by the hormone erythropoietin (EPO for short) and the bone metabolism is in part regulated by vitamin D. At Schoen Clinic, we also show you how you can adapt your eating habits to your personal metabolic situation. 

Renal insufficiency treatment: Dialysis

In the event of a renal failure, the kidney function can be replaced by dialysis. A distinction is generally made between two types: haemodialysis, also popularly called “blood washing”, and peritoneal dialysis. The dialysis technology was permanently refined in recent decades. It rescues the lives of many affected people and allows for people to live relatively comfortably.

The main job of dialysis is to remove the metabolic degradation products, to control the blood salts and to regulate the fluid balance. The procedure that is used depends on several factors. In addition to the medical requirements, personal circumstances and wishes also play an important role. At Schoen Clinic, we place great value on explaining all kidney replacement procedures and possible advantages and disadvantages to you in detail prior to starting a dialysis treatment.

Haemodialysis (“blood washing”)
A dialysis device is used to free the blood of toxins and excess water. The blood salts are balanced. Vascular access is required to perform dialysis, which is usually done on the arm. The haemodialysis treatment is usually performed at a dialysis practice. Patients go at least three times per week for four hours on the dialysis machine. Given the appropriate prerequisites, haemodialysis can also be performed at home (home haemodialysis).  

Peritoneal dialysis
During this procedure, fresh dialysis fluid is passed into the abdominal cavity several times a day and drained out again during the next session. This removes toxins and excess water. A permanent catheter through the abdominal wall is required for this type of treatment. Our surgeons at Schoen Clinic have extensive experience with this procedure. 

Due to its daily application, peritoneal dialysis is considered to be more gentle on circulation. In addition, it allows for greater independence, because it can be done easily at home. It can also be supplemented by a dialysis machine.

Surgical treatment methods

Surgical renal insufficiency treatment: Kidney transplant

In special cases, you can replace the kidney via a transplant. To do this, the kidney from another person is transplanted into the body of the patient. A distinction is made between the living donation (for example from a relative) and the donation from a deceased person (for example after an accident). Kidney transplants are done at certain specialised centres. After the procedure, it is necessary to permanently take medication to prevent the rejection of the donor kidney.