Kidney (Renal)

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The Renal Service at Texas Children’s Hospital is one of largest programs in the world, and provides diagnostic, therapeutic and long-term care for infants, children and adolescents with all forms of congenital and acquired kidney diseases.

Care is provided with an integrated, comprehensive, patient and family centered focus by a team of physicians, advance practice providers, nurses, dietitians, pharmacists, social workers, child-life specialists, psychologists, and quality of life leaders.

Texas Children’s Hospital is a national leader in renal replacement therapy (RRT) for critically ill children with acute renal failure, providing, peritoneal dialysis, acute hemodialysis and continuous renal replacement therapy (CRRT). We are one of the few pediatric centers in the United States that offers MARS therapy for children with liver failure or drug ingestions.

Services

End-Stage Renal Disease (ESRD) Program

The End-Stage Renal Disease (ESRD) program for children with chronic renal failure is one of the largest in the country and includes both dialysis and transplant services. The Dialysis Program offers chronic in-center hemodialysis, as well as home based peritoneal and hemodialysis.

Kidney transplantation services provide transplantation from deceased donors and living related and unrelated donors. The care teams include the multidisciplinary renal team, dialysis nurses and technicians, transplant coordinators, interventional radiologists, and dedicated transplant and dialysis access surgeons.    

Hypertension Clinic

The Hypertension Clinic evaluates and treats children and teenagers with elevated blood pressure (hypertension). This clinic is multidisciplinary and includes physicians, nurse practitioners, nurses, and dietitians. Our goal is to work with you and your child to create a personalized and effective plan to manage your child’s elevated blood pressure and prevent future complications. 

Kidney Stone Clinic 

The Kidney Stone Clinic is a multidisciplinary clinic for children with kidney stones.  The care team which includes nephrologists, urologists, dieticians, and nurses evaluate, diagnose, and manage patients with kidney stones due to genetic, metabolic, and/or structural causes.

Lupus Clinic 

The Lupus Clinic is dedicated to the care of children with systemic lupus erythematous (SLE).  This comprehensive care program includes nephrologists, rheumatologists, gynecologists, nurse practitioners, and nurse educators, and is dedicated to improving outcomes and the quality of life for over 175 children with SLE, including over 100 with kidney involvement. Learn more about the Rheumatology Clinic.

Antenatal counseling

Antenatal counseling is provided to over 400 patients annually with developmental renal anomalies at the Fetal Center at the Pavilion for Woman at Texas Children’s Hospital. The care team includes maternal fetal medicine and fetal intervention specialists, fetal care coordinators, urologists, nephrologists, and genetic counselors. 

Apheresis Services

The Renal Service provides a broad range of apheresis services including Red Cell Exchange (RCE), Therapeutic Plasma Exchange (TPE), leuko-depletion, and peripheral stem cell harvesting which is accredited by FACT. Care is provided both in the outpatient and inpatient setting by a multidisciplinary team of nephrologists, pathologists, advanced practice nurses, and nursing experts.

Renal Genetics Clinic 

The Renal Genetics Clinic offers consultations and diagnostic evaluations for patients with inherited or genetic causes of renal disease.