- Name of Head of Department :
Prof. Dr. Dibya Singh Shah
- Department introduction/description :
Nephrology specialty service started in TU Teaching Hospital in 1992. Initially it started with acute peritoneal dialysis (PD) for patients with acute kidney failure. Hemodialysis (HD) services started in 1996 (2053BS) with the support of two dialysis machines donated by the Government of Japan.
Initially nephrology service was provided by the Department of Internal Medicine as Nephrology Unit through a team of a few dedicated faculties committed to contributing to the care of patients with kidney disease. Later on, this endeavor was reinforced by the initiation of other kidney care services through dedicated nephrology service beds, specialty outpatient clinic, peritoneal dialysis and initiation of living donor kidney transplantation services in 2008.
The Department of Nephrology was founded on 24 Dec 2012 (Poush 9, 2069 BS) later renamed as Department of Nephrology and Transplantation Medicine.
- Department vision, mission and goals :
Department of Nephrology and Transplantation Medicine is committed to work in promotion of kidney health of fellow countrymen in Nepal and overseas. We are convinced that this will be achieved through clinical works, education and research in kidney diseases.
- Department faculty members (Only MMC appointed faculty; Do not include hospital registrars):
| S.N. | Full Name | Designation | Full Academic Qualifications (Bachelor onwards) |
| 1 | Prof Dr Dibya Singh Shah | Professor & Head | MBBS, MD |
| 2 | Prof Dr Mahesh Raj Sigdel | Professor | MBBS, MD, DM, FRCP (Edin), HonFICP |
| 3 | Dr Mukunda Prasad Kafle | Lecturer | MBBS, MD, DM, FRCP (Edin), FASN, FISN, Hon FICP |
| 4 | Dr Midhan Shrestha | Lecturer | MBBS, MD, DM |
| 5 | Dr Rabin Nepali | Lecturer | MBBS, MD, DM |
- Academic programs and students educated/trained each year / total
(Please remove subjects irrelevant to your department) / (Add if any program is missing from the list)
| Level | S.N. | Program name | Tick / Yes / No |
| Bachelor | 1 | MBBS | ✓ |
| 2 | BDS | ✓ | |
| Masters | 3 | MD Int Medicine | ✓ |
| 4 | MD GP | ✓ | |
| Super-specialty | 5 | DM Nephrology | ✓ |
| 6 | ………… |
- List of hospital clinical services provided and Number of patients served/treated (concise list only)
- Outpatient service
Every year, hundreds of patients are diagnosed with chronic kidney disease (CKD). We serve over 15,000 patient visits in our outpatient clinic every year.
| Clinic | Day | Time | Location | Service type |
| General medicine & Nephrology | Sundays & Tuesdays | 0900 AM | TUTH, B Block | New patients and follow up |
| Nephrology Specialty Clinic | Thursdays | 0200 PM | TUTH, B Block | Follow up only |
| Transplant clinic | Mon, Wed, Friday | 0900 AM | TUTH, E Block | Booked cases only |
- Inpatient service
The Nephrology ward is located at Level 2 of Tribhuvan University Teaching Hospital. We provide service through 34 inpatient beds, 22 dialysis beds, 2 post transplant ICU beds and shared ICUs. It has occupancy of almost 100% with a huge number of additional renal patients admitted in other wards in the hospital. Total number of nephrology inpatients averages 45 to 50 in any day.
- Hemodialysis service
Hemodialysis (HD) is one of the fundamental services provided by the Department of Nephrology and Transplantation Medicine. HD is an essential lifesaving therapeutic modality for patients with kidney failure. While it is a medical facility to sustain survival of patients with kidney failure, it is also important bridging therapy for kidney failure patients planning to have a kidney transplant.
Our hemodialysis unit is equipped with 10 machines in HD ward, 13 other machines in the Day Care Dialysis service and one dedicated hemodialysis machine in the ICU and two CRRT machines (ICU plus Dialysis ward). Two 4 hour sessions are run every day for booked outpatient HD patients, followed by unrestricted service for indoor and emergency patients 24/7. Our specialist nurses have trained hundreds of nurses throughout the country and also have helped to establish HD units in various hospitals nationwide.
We perform over 11000 HD sessions for new and old CKD and AKI patients every year. We provide regular outpatient dialysis to over 60 patients under the Nepal Government subsidized dialysis service. Shortage of dialysis machines and growing number of ESRD patients has left over 700 registered patients awaiting the standard of care in our HD unit.
The Nephrology Department has been able to establish plasma exchange, bedside dialysis in ICU, pediatric nephrology care and living donor kidney transplantation in the country.
Our medical team also covers CRRT service in Manmohan Cardiovascular Thoracic and Transplant Centre
- Kidney transplantation
Living related kidney transplantation services started on 8th of August 2008. Prof Dibya Singh Shah led this program. Over 850 living donor kidney transplants have been performed till September 2024. Second kidney transplant, ABO incompatible kidney transplantation, transplantation of sensitized patients, transplantation of HBsAg/anti HCV/HIV positive patients are some of our notable works in kidney transplantation. We feel proud to have successfully accomplished the second living donor kidney transplantation for the then Prime Minister Rt’ Honourable KP Sharma Oli on 4th March 2020.
