Treatments

Core Treatment Goals

• Slow kidney function decline when possible
• Control blood pressure and cardiovascular risk
• Reduce complications (pain, stones, infections)
• Preserve quality of life and support long-term planning

Treatment Options We Offer

1. Disease-Modifying Therapy (when appropriate)
   • Explain that certain therapies may slow progression in selected patients at risk of rapid progression, with careful monitoring and education.
2. Blood Pressure & Kidney-Protective Care
   • Individualized BP targets and medication optimization
   • Proteinuria evaluation/management when present
   • Lifestyle guidance (sodium, hydration plan, exercise)
3. Pain and Symptom Management
   • Structured pain evaluation
   • Non-opioid-first plan, procedures when appropriate
   • Coordination with pain management team
4. Managing Complications
   • Cyst infection/bleeding pathways
   • Kidney stones prevention and treatment
   • Hematuria evaluation and return precautions

Referral to Transplant Clinic

When to Consider Transplant Referral:

• eGFR declining toward advanced CKD (often before dialysis is needed)
• Rapid progression or significant symptom burden
• Desire to explore living donor options early