Urology

Chronic Kidney Disease

만성콩팥병

GFR<60 or kidney damage markers for ≥3 months; DM/HTN main causes

How common
Common
Typical age
Variable age

What is it?

Core pathophysiology of Chronic Kidney Disease.

Commonly affected: 신장 전체 (사구체·세뇨관·혈관)

How it develops

  1. TriggerTriggering factor for Chronic Kidney Disease
  2. Local changeSpecific changes in 신장 전체 (사구체·세뇨관·혈관)
  3. ManifestationCharacteristic clinical features appear
  4. CourseCourse depends on treatment

Symptoms

  • Characteristic symptomsClassic features of Chronic Kidney Disease
  • Voiding/pain/hematuriaVaries by patient
  • Systemic symptomsWith progression

How it is examined

  • Physical examIdentify affected region
  • Urine/blood labsUA, renal function, PSA as appropriate

Imaging

Renal ultrasound or CT urography is standard.

  • Lesion-specific imaging findings

MRI or cystoscopy if indicated.

  • Adjunctive findings

Non-surgical care

  • PharmacotherapyTargeted medications
  • Lifestyle/hydration2 L/day fluids, regular voiding
  • SurveillanceRegular follow-up

Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.

When surgery is considered

Medical failure or complications

Procedures that may be discussed

  • Endoscopic procedure
  • Surgical treatment

Outlook

Good with appropriate treatment.

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