Skip to main content
Nephrology
Nephrology

Nephrology

Nephrology

Nephrology · Dialysis · Transplantation department provides inpatient and outpatient care for patients with acute or chronic kidney disease, transplantation and dialysis in all its forms.

The department has a research and teaching activity.

Nephrology · Dialysis · Transplantation department provides inpatient and outpatient care for patients with acute or chronic kidney disease, transplantation and dialysis in all its forms.

The department has a research and teaching activity.

  • Consultations & Team

    Nephrology

    Pr Thierry Lobbedez, Pr Valérie Chatelet, Dr Clémence Béchade, Dr Nicolas Bouvier, Dr Nicolas Gautier, Dr Annabel Boyer, Dr Eve Calvar, Dr Maxence Ficheux, Dr Patrick Henri, Dr Victor Gueutin, Dr Antoine Lanot, Videloup Ludivine, Levray Magali
    Consultation hours

    Registration on the kidney transplant waiting list

    Professor Valérie Chatelet, Dr. Nicolas Bouvier, Dr. Eve Calvar

    Kidney transplant follow-up

    Pr Thierry Lobbedez, Pr Valérie Chatelet, Dr Clémence Béchade, Dr Nicolas Bouvier, Dr Nicolas Gautier, Dr Annabel Boyer, Dr Eve Calvar, Dr Maxence Ficheux, Dr Patrick Henri, Dr Victor Gueutin, Dr Antoine Lanot

    Peritoneal dialysis

    Professor Thierry Lobbedez, Dr. Clémence Béchade, Dr. Annabel Boyer, Dr. Antoine Lanot, Dr. Maxence Ficheux

    Hemodialysis

    Dr. Patrick Henri, Dr. Maxence Ficheux, Dr. Nicolas Gautier

    Onco-nephrology

    Dr. Victor Gueutin

    Approach to chronic kidney disease

    Brionne Sarah

    Presentation of extrarenal purification techniques

    Brionne Sarah

    Approach to kidney transplantation

    Pollaert Ludivine, Chanteloup Céline

    Dietetic

    Laura Brien

    Psychological counseling for patients and their families

    Sandrine Letrecher

    Stone disease

    Dr. Nicolas Gautier

      Service composition

      The Nephrology medical team at Caen Normandy University Hospital has been organized into a Territorial Nephrology Medical Team, headquartered at the University Hospital.
      The medical team works in collaboration with the care teams (healthcare managers, advanced practice nurses, nurses, nursing assistants, paramedics) and the administrative management teams of the three partners: Caen University Hospital, Flers Hospital, and ANIDER .

      • 1 University Professor · Hospital Practitioner
      • 1 Associate Professor · Hospital Practitioner
      • 1 University Lecturer · Hospital Practitioner
      • 9 Hospital Practitioners
      • 3 Health Executives
      • 1 Advanced Practice Nurse
      • 1 Coordinating Nurse
      • 1 Dietitian
      • 1 Psychologist
      Team details
    • Patient information

      Frequently Asked Questions

      What is kidney failure?

      The kidneys are located in the abdomen. They act as two filters, through which blood passes day and night, creating urine that is then deposited in the bladder. In this way, the human body eliminates the various molecules, toxins, and medications absorbed throughout the day.

      Kidney failure corresponds to a clogging of these two filters, resulting in an accumulation of toxins which, in the long term, can be responsible for various symptoms, some of which can, in severe cases, lead to death.

      How to detect kidney disease?

      A diagnosis of kidney disease can be made either:

      • through a blood test , which may show an accumulation of toxins
      • by urine analysis using a urine strip, which may show the abnormal presence of protein and/or microscopic blood.
      • by renal ultrasound which may show an abnormality of the kidneys and/or of the proper flow of urine to the bladder.

      What is extrarenal purification treatment?

      Extracorporeal renal replacement therapy involves implementing a treatment that takes over the function of the two diseased kidneys. Currently, kidney transplantation or dialysis .

      The implementation of these treatments is done through learning and training that doctors carry out in coordination with nurses over a series of consultations.

      The dangers of kidney failure

      It's important to remember that if the body's filters become clogged, molecules will accumulate in the blood and cause symptoms. In cases of advanced kidney failure, the main molecules responsible for symptoms are:

      • Sodium , the mineral in table salt, is in crystalline form. Once in the bloodstream, salt dissolves and does not return to its crystalline form. If the kidneys are no longer able to eliminate ingested salt, it will be stored and retain water with it. This will cause various symptoms such as high blood pressure , edema , weight gain , and unusual shortness of breath acute pulmonary edema can occur, requiring emergency hospitalization.
      • Potassium is a molecule involved in nerve conduction, enabling muscle contraction. Its accumulation in the blood can block this muscle contraction. This results in a loss of muscle strength, which may manifest as an inability to stand, but more importantly, it can block the contraction of the heart muscle, leading to cardiac arrest in severe cases. High blood potassium levels require emergency hospitalization.
      • Uremic toxins represent all the cellular waste produced by the body every day. Their accumulation can cause itching, excessive fatigue, loss of appetite , and weight loss. This is known as uremic syndrome, where the body draws on its reserves until they are depleted.
      • Medications , since some are primarily eliminated through urine, can accumulate in the urine, causing symptoms of overdose. Pain relievers (except paracetamol) , sleeping pills, some antidiabetic medications, and some antibiotics are particularly susceptible.

       

      What is dialysis?

      Dialysis is an extrarenal purification treatment where toxins are removed through contact between the patient's blood and a fluid called dialysate. The toxins pass from the blood to the dialysate via a membrane. This exchange can be achieved using two techniques:

      1. Hemodialysis. With this technique, the exchange between the blood and the dialysate takes place via an extracorporeal circuit. Blood leaves the body to be purified in a machine, then returns to the body. This dialysis method can be performed independently at home or in a hemodialysis center, day or night. To perform hemodialysis, it is necessary to create an arteriovenous fistula or to insert a dialysis catheter in the neck.
      2. Peritoneal dialysis. With this technique, the exchange between the blood and the dialysate takes place within the body. The dialysate is infused into the abdomen using a catheter, where it absorbs toxins from the blood, and is then drained out of the abdomen. This dialysis method is performed at home, day or night. A peritoneal dialysis catheter is required to perform this procedure.

       

      Useful document(s)

      My kidney transplant

      My kidney transplant

      Interactive document
      Kidney transplant

      Kidney transplant

      Information
      • Coverage

        Service organization

        The University Center for Renal Diseases hosts the following activities:

        • consultation
        • day hospitalization
        • dialysis and extracorporeal therapies
        • and patient education

        Level 21 of the Côte de Nacre Tower, Unit 30:
        Comprising 16 beds, this unit provides care for nephrology patients in conventional hospitalization.

        Level 16 of the Côte de Nacre Tower · Unit 20
        Composed of 6 beds, this unit provides care for nephrology patients in the continuous monitoring sector, benefiting from a kidney transplant and acute renal failure.

        Contracted external activities:

        • with the Flers Hospital Centre
          , the department provides daily nephrology consultations, monitoring of dialysis patients, and assistance with the care of hospitalized patients.
        • With the various ANIDER dialysis centers
          in Hérouville, Bayeux, Équemauville, Argentan, Flers
        Clinical activities

        Management of chronic kidney disease:

        • Etiological assessment, renal biopsy
        • Implementation of nephroprotective treatment
        • Management of high blood pressure
        • Prevention and therapeutic education
        • Investigation and management of lithiasis

        Support, training, initiation and monitoring of extrarenal purification treatments:

        • Assistance in navigating different therapeutic options:
          • Home dialysis: peritoneal dialysis / low-flow dialysate hemodialysis
          • Hemodialysis (in-center or out-of-center)
          • Kidney transplant
          • Conservative treatment, followed by dialysis-free monitoring

        Continuous care for patients with kidney disease within the University Hospital and the surrounding area, 24/7

        • Senior medical advice
        • Emergency hemodialysis
        • Kidney transplant
        • Direct hospitalization

        Hospital care for nephrology patients 

        • Acute renal failure
        • Complications of chronic kidney disease, dialysis, and kidney transplantation
        • Renal biopsy
        • Immediate post-transplant follow-up
        • End-of-life care

        Day hospital activity:

        • Dispensing of hospital-use medication
        • Chronic kidney disease assessment
        • Education and care of patients undergoing peritoneal dialysis
        • Emergency nephrology and transplantation consultations

        Activity of the hemodialysis service

        • Placement of hemodialysis catheters
        • Management of patients requiring urgent hemodialysis
        • Plasma treatment (plasma exchange, rheophresis, lipidophresis)
        • Initiation of chronic hemodialysis
        • Education and training in self-dialysis and home hemodialysis
        • Care and monitoring of patients undergoing chronic hemodialysis
        Regional medical meetings

        The service provides various medical meetings to discuss patient cases, accessible via videoconference to healthcare professionals in the region, with the following themes:

        • Kidney transplantation
        • Renal anatomopathology
        • Genetic nephrology
        • Onco-nephrology
        • Complex vascular access for hemodialysis

        Competence Center

      • Research & teaching

        Affiliation with research teams

        Some members of the Nephrology Department are currently attached to the research team of the Faculty of Health at the University of Caen-Normandie:

        Research themes

        The main theme of the service is the integration of therapeutic modalities for Chronic Kidney Disease into the patient pathway, the optimization of transition phases, the study of the impact of social inequalities in health, and innovation in dialysis.

        Teaching activities

        The department actively participates in various teaching activities:

        • Training of medical students at the Faculty of Health and in the department
        • Training and supervision of the DES in nephrology (regional G4, CUEN , Dissertation and Thesis)
        • In-hospital training (Caen University Hospital and Flers Hospital) for interns from other specialties
        • Nursing training (AFIDTN, in-house service)
        • Training of general practitioners as part of their continuing medical education (CME)

      Locate / contact the service

      Nephrology

      University Center for Kidney Diseases

      Avenue de la Côte de Nacre CS 30001 14033 CAEN cedex 9

      Nephrology

      Secretariat of the department


      Level GPS accessParking Entrance E-mail
      Consultations
      University Center for Kidney Diseases
      Level : 1
      GPS access: CUMR
      Parking: Parking 2
      CUMR Entry
      Hemodialysis
      University Center for Kidney Diseases
      Level : 0
      GPS access: CUMR
      Parking: Parking 2
      CUMR Entry
      Conventional hospitalization
      Mother-of-Pearl Coast Tower
      Level : 21
      GPS access: Main
      Parking: Parking 1
      Main entrance of the Caen Normandy University Hospital
      Hospitalization in continuous care
      Mother-of-Pearl Coast Tower
      Level : 16
      GPS access: Main
      Parking: Parking 1
      Main entrance of the Caen Normandy University Hospital
      Day hospital
      University Center for Kidney Diseases
      Level : 1
      GPS access: CUMR
      Parking: Parking 2
      CUMR Entry
      Hemodialysis and consultation in Flers