Kidney Care

Renal Biopsy: Indications, Contraindications & Complications

A renal biopsy is a procedure used to obtain a segment of renal tissue, usually through a needle or another surgical instrument. Once this tissue is analyzed, it’s then used in the diagnosis of an underlying renal condition. We have a better understanding & are renowned to be known as one of the best kidney care hospitals in India.

In renal disease, renal biopsy is useful to:

  • Establish the diagnosis
  • Assess severity and activity of disease
  • Assess prognosis by noting the amount of scarring
  • To plan the treatment and monitor response to therapy

Indications for Renal Biopsy

  • Nephrotic syndrome in adults (most common indication)
  • Nephrotic syndrome not responding to corticosteroids
  • Acute nephritic syndrome for differential diagnosis
  • Asymptomatic hematuria, when other diagnostic tests fail to identify the source of bleeding
  • Isolated non-Nephrotic range proteinuria with renal impairment
  • Involvement of kidney in systemic disease

Contraindications

  • Uncontrolled severe hypertension
  • Hemorrhagic diathesis
  • Solitary kidney
  • Large and multiple renal cysts
  • Small, shrunken kidneys
  • Urinary tract obstruction

Complications

  • Hemorrhage: As renal cortex is highly vascular, major risk is bleeding in the form of hematuria or perinephric hematoma.
  • Arteriovenous fistula
  • Infection
  • Accidental biopsy of another organ
  • Death (rare)
  • Infection

Backed by a set of erudite surgeons and world-class facilities, Fortis International has been the finest kidney hospitals in India.

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