Nephrology
Apex Hospitals, Malviya Nagar, Jaipur is among the best nephrology hospitals in Rajasthan, offering advanced, patient-centred care for kidney disease, from diagnosis and dialysis to kidney transplant. Led by Dr. Ajay Pal Singh, Director — Nephrology & Kidney Transplant, with 15+ years of experience, our department has performed 350+ kidney transplants with a fully equipped dialysis centre and complete treatment capability for end-stage kidney disease and acute kidney failure.
350+ Kidney Transplants
15+ Years Experience
Fully Equipped Dialysis Centre
ESRD & AKI Management
Nephrology is the branch of medicine focused on the diagnosis and treatment of diseases affecting the kidneys, in both adults and children.
The kidneys play a critical role in keeping the body's fluid and electrolyte levels within a safe range, while filtering waste products from the blood. When the kidneys fail to perform this function correctly, waste materials accumulate in the body and can lead to serious, even life-threatening, health concerns. Kidney disease is often described as a systemic illness, its effects extend well beyond the kidneys themselves, impacting blood pressure, bone health, and cardiovascular risk.
Common kidney conditions include chronic kidney disease, acute kidney injury, kidney stones, and polycystic kidney disease. At Apex Hospitals, Malviya Nagar, our Nephrology Department is dedicated to offering patients top-class, personalised treatment for the full range of kidney disease, from early-stage management to dialysis and transplant.
Swelling in the legs, ankles, or face
Persistent fatigue or weakness
Foamy or blood-tinged urine
Significant change in urine output
Uncontrolled high blood pressure
Persistent nausea or loss of appetite
Severe flank or back pain (possible kidney stones)
A family history of polycystic kidney disease
Patients with diabetes or high blood pressure, both leading causes of chronic kidney disease, should have regular kidney function screening. Patients with a family history of kidney disease, those experiencing the warning signs above, and patients already diagnosed with CKD requiring dialysis planning or transplant evaluation should consult our Nephrology Department.
| Condition | Description |
|---|---|
| Chronic Kidney Disease (CKD) | A progressive decline in kidney function over time, leading to a build-up of fluids, electrolytes, and waste products in the body. |
| Acute Kidney Injury (AKI) | A sudden, often reversible, loss of kidney function, frequently linked to severe illness, dehydration, or medication effects. |
| End-Stage Kidney Disease (ESRD) | Complete or near-complete loss of kidney function, requiring dialysis or kidney transplant for survival. |
| Kidney Failure | The inability of one or both kidneys to function correctly, may be acute and temporary, or chronic and progressively worsening. |
| Polycystic Kidney Disease (PKD) | An inherited disorder causing clusters of fluid-filled cysts to develop in the kidneys, leading to enlargement and gradual loss of function. |
| Kidney Stones | Hard deposits of minerals and salts form inside the kidneys, often requiring intervention such as PCNL for larger stones. |
Kidney Transplant — Living donor kidney transplant, including complex and immunologically high-risk cases. 350+ transplants performed.
Dialysis — Personalised haemodialysis treatment for patients with end-stage kidney disease.
Continuous Renal Replacement Therapy (CRRT) — A continuous, gentler form of dialysis for critically ill patients with acute kidney injury, performed in the ICU.
Pre- and Post-Transplant Care — Complete evaluation, donor work-up, and lifelong follow-up for transplant recipients.
Percutaneous Nephrolithotomy (PCNL) — Minimally invasive keyhole removal of large or complex kidney stones, with faster recovery and minimal scarring.
Chronic Kidney Disease (CKD) Management — Staged management to slow disease progression and delay the need for dialysis.
Renal Biomarker & Diagnostic Testing — In-house laboratory support for precise, fast diagnosis and treatment monitoring.
Acute Kidney Failure Management — Rapid assessment and treatment for sudden loss of kidney function.
Dr. Ajay Pal Singh and the transplant team at Apex Hospitals have performed 350+ kidney transplants, including complex and high-immunological-risk cases. This depth of experience means patients with challenging presentations, who may have been told they have limited options elsewhere, can be evaluated for transplant here.
From early CKD management and dialysis to kidney transplant and lifelong post-transplant follow-up, Apex Hospitals manages the entire kidney care journey. Patients do not need to be referred elsewhere at any stage, a fully equipped dialysis centre, in-house laboratory, and transplant coordination team support continuous, coordinated care.
Apex Hospitals has successfully managed transplant cases involving significant immunological complexity, including patients with concurrent viral infections and crossmatch-positive donors, using specialised desensitisation protocols. Patients referred from other hospitals for difficult cases are routinely evaluated and treated here.
Our nephrologists take the time to listen to each patient and build a treatment plan around their specific condition and circumstances, rather than a one-size-fits-all protocol. This is supported by the latest diagnostic technology, ensuring that treatment decisions are based on precise, timely information.
Book online, call our nephrology helpline, or walk in during OPD hours. Patients with acute symptoms, sudden reduction in urine output, severe swelling, or breathlessness, are seen on an emergency basis. Bring any prior blood tests, scans, or referral notes.
Dr. Ajay Pal Singh reviews your history and orders relevant investigations, blood tests for kidney function, urine tests, ultrasound, and where needed, a kidney biopsy. Most diagnostics are available in-house for faster results and continuity of care.
Depending on the diagnosis, treatment options are explained clearly, medical management to slow disease progression, dialysis planning, or transplant evaluation. A personalized treatment plan is built around the patient's specific stage of kidney disease and overall health.
Patients progressing to end-stage kidney disease are guided through dialysis options (haemodialysis or CRRT for critically ill patients) or kidney transplant evaluation, including donor work-up and compatibility testing, even for complex, high-risk cases.
Transplant patients are closely monitored in the early post-operative period, then transition to structured long-term follow-up, including immunosuppression management and regular kidney function monitoring. Dialysis and CKD patients continue with scheduled reviews to track disease progression.
Priya S. (Name Changed)
Condition: End-Stage Renal Disease with Hepatitis B & C
★★★★★
"I had been on dialysis for over three years and was told my case was too complex for a transplant. My husband came forward as a donor even though we were told the odds were against us. The team at Apex Hospitals did not give up. Two months after the surgery, my kidney is functioning well and I have no complications. I am grateful every single day."
Condition: A female patient with both Hepatitis B and Hepatitis C, conditions that typically complicate transplant eligibility and outcomes, had been on dialysis for over three years. After exhausting other donor options, her husband volunteered, despite being crossmatch-positive.
Treatment Given: The case required a highly specialised desensitisation protocol involving Rituximab, plasmapheresis, IVIg, and antiviral therapy to manage both Hepatitis B and C infections alongside the crossmatch-positive donor challenge.
Outcome: The transplant was successful, with stable graft function confirmed at the two-month follow-up and no post-operative complications. This case highlights the clinical depth of the Apex transplant team in managing immunologically complex cases that fall outside standard eligibility criteria, and reinforces the life-saving potential of living organ donation.
Apex Hospitals, Malviya Nagar is among the best nephrology hospitals in Jaipur, with 350+ kidney transplants performed, a fully equipped dialysis centre, and 15+ years of nephrology expertise under Dr. Ajay Pal Singh.
Acute kidney injury (AKI) is a sudden loss of kidney function that is often reversible with timely treatment. Chronic kidney disease (CKD) is a gradual, long-term decline in kidney function that progressively worsens over months or years. Both require specialist nephrology management, but the treatment approach and urgency differ significantly
Yes. With the right pre-transplant management, including antiviral therapy and close monitoring, patients with Hepatitis B or C can be successfully evaluated and transplanted. Apex Hospitals has successfully performed transplants in patients with both Hepatitis B and C using a specialised desensitisation and antiviral protocol.
CRRT (Continuous Renal Replacement Therapy) is a continuous, gentler form of dialysis used in the ICU for critically ill patients with acute kidney injury, particularly when blood pressure is too unstable for standard dialysis. It supports kidney function over 24 hours under close monitoring
Large or complex kidney stones are removed using PCNL (Percutaneous Nephrolithotomy), a minimally invasive, keyhole procedure performed through a small puncture in the back. It offers reduced discomfort, faster recovery, and minimal scarring compared to open surgery
PKD is an inherited disorder in which clusters of fluid-filled cysts develop in the kidneys, causing them to enlarge and gradually lose function over time. As it is hereditary, family members of a diagnosed patient may benefit from screening.
Apex Hospitals, Malviya Nagar offers 350+ kidney transplants, a fully equipped dialysis centre, complete CKD and AKI management, and a track record of successfully managing complex and high-immunological-risk transplant cases — all under the leadership of Dr. Ajay Pal Singh
