Renal and Genito-Urinary
Therapy
Patients who develop significant renal dysfunction after treatment for childhood cancer should be followed by a nephrolgist.
Hypertension should be treated.
Patients with renal tubule damage can develop hypophosphatemia and acidosis. This can cause skeletal abnormalitis (renal osteodystrophy) which can affect bone growth and density. They require specialist help in addition to a low phosphate diet and supplements of calcium, vitamen D and magnesium.
Renal failure is treated by dialysis
Renal transplant may be possible if the patient has been cancer free for many years.
Ureteric and urethral strictures can be dilated.
Chronic hemorrhagic cystitis requires cystoscopy to exclude malignancy, but also bleeding sites can be cauterized.
