Pediatric Nephrology teamThe St. Louis Children's Hospital nephrology program respects the special needs of children and is designed to foster the most positive physical, psychosocial and educational development in children with renal disorders. Treatment programs are geared specifically to promote understanding, interaction and independence for both the children and the family.

Throughout diagnosis and treatment, physicians and staff members in the nephrology unit are dedicated to providing the most up-to-date and comprehensive care available. In addition, their goal is to continually educate parents and patients to help them gain a solid understanding of all care provided and procedures performed.

The pediatric nephrology program works closely with outstanding programs in Adult Nephrology, Pediatric UrologyTransplant SurgeryPediatric Cardiology, and Pediatric Rheumatology.

From our group, the following doctors have been regularly selected (by confidential peer nomination only) in the list of Best Doctors in America:

  • Dr. Keith Hruska-continuously from 2004-2018
  • Dr. Paul Hmiel-continuously from 2005-2018
  • Dr. Vikas Dharnidharka-continuously from 2007-2018

Take a virtual tour of the Dialysis Unit

The Renal Program at St. Louis Children's Hospital provides comprehensive diagnosis and treatment for all congenital and acquired kidney diseases in children and adolescents, including:

  • High blood pressure
  • Urinary tract infections and enuresis
  • Fluid and electrolyte disorders
  • Acute and chronic renal failure, including acute and chronic dialysis
  • Renal transplantation

Treatments offered

The best course of treatment for a child is determined after a diagnosis is made by the physician. Treatment plans may include:

  • Outpatient diagnostic evaluation and ongoing care
  • 24-hour care by pediatric renal specialists
  • Specialized laboratory tests
  • Medications
  • Educational programs tailored to children and their families
  • Renal dietary counseling
  • Personal and family counseling
  • 24 hour ambulatory blood pressure monitoring
  • Hemodialysis
  • Peritoneal dialysis
  • Percutaneous renal biopsies
  • Hemoperfusion and hemofiltration
  • Transplantation, including pre-transplant and post-transplant care
  • Plasma and cell pheresis
  • Antenatal consults
  • Renal transplantation
  • Apheresis
  • Pulse wave analysis

Why Choose Us?

St. Louis Children’s Hospital is consistently ranked among the nation’s best pediatric hospitals by U.S. News & World Report, the most comprehensive source of quality-related information on U.S. pediatric hospitals. We follow one simple mission – to do what’s right for kids. That mission comes to life through medical discovery, innovative therapies and compassionate care.

Best Children's Hospitals

We offer world-class care to children thanks in part to generous gifts from hundreds of people who have joined us as Guardians of Childhood. This philanthropic support enabled us to fulfill our mission to do what's right for kids. Join us in making health care better for all children.

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