Welcome to BP& Kidney Specialists. We are a specialist Nephrology clinic, dedicated to helping people Kidney issues.Nephrology is the study and treatment of kidney diseases, including acute and chronic renal failure, hypertension, glomerular and vascular disorders, diabetic kidney disease and transplants. These conditions are managed by regulating blood pressure, electrolytes, balancing fluids in the body, and in some cases, administering dialysis.
Doctor Saleshando is a Motswana with deep roots scattered all over Botswana, from his early childhood in Lobatse and Mmathethe, to primary schooling in Selibe Phikwe and secondary schooling in Francistown. He then did Pre-Entry Science Course and Part 1 Bachelor of Science at the University of Botswana. From there he did medical training at the prestigious University College of Dublin in Ireland graduating in 2001 with an MB, Bch, BaO degree. He then specialized as a physician still in Ireland where he became a Member of the Royal College of Physicians (MRCP) in Ireland. He worked as a physician in Princess Marina hospital and later joined the private sector in Gaborone. He would later return to school again to sub specialize in kidney diseases (nephrology) at the University of the Witwatersrand, Johannesburg Hospital. He is a Fellow of the Colleges of Medicine of South Africa.
Dr. Saleshando pioneered the development of advanced kidney treatments such as hemodialysis in both in the public sector (Princess Marina hospital) and in the private sector (Bokamoso Private Hospital).
We offer a broad range of Nephrology Services including investigation, diagnosis and management of the following conditions:
Persistent microscopic hematuria
Persistent troublesome macroscopic haematuria. In some patients macroscopic haematuria persists despite negative initial investigations. In these patients further investigations may be required including renal. arteriography, retrograde ureterography, cystoscopy and biopsy and occasionally ureteroscopy..
Polycystic kidney disease is a disorder that affects the kidneys and other organs. Clusters of fluid-filled sacs, called cysts, develop in the kidneys and interfere with their ability to filter waste products from the blood. The growth of cysts causes the kidneys to become enlarged and can lead to kidney failure.
BP & Kidney specialists is a referral clinic. We encourage people to first see their General practitioner, who may then refer them to our clinic. We do however accept self referrals.
In assessing if you have kidney disease and what may be causing it, we would normally do a series of blood tests and urine tests. If necessary you may need a kidney biopsy. This involves putting a needle into the kidney while you lie on your tummy. It is done under ultrasound guidance and local anesthetic. A small sample of your kidney is then taken for further analysis in a laboratory. Further guidance will be given to your doctor, based on what the results are showing.
Some patients present with advanced kidney diseases . Their kidneys are no longer able to function well, which impacts on their wellbeing. They therefore need to be started on treatments that can do the work of their own kidneys. These treatments are known as renal replacement therapies. They include hemodialysis, peritoneal dialysis and kidney transplant. Your doctor may refer you because they fear you will need to start these treatments soon..
Some patients have difficult to manage kidney disease or blood treasure. They therefore need to be managed by a specialist. Once stable they may be referred back to their general practitioner.Once it’s determined that you have kidney disease, it’s important that you learn about your condition. Kidney disease is one of the few diseases that can be managed. You play a crucial role in maintaining your kidney function.
To find out if you have Kidney Disease, What is causing it, What can be done about it.
To better manage your known Kidney Disease or Blood Pressure.
To start Kidney Supportive ( Renal Replacement) Therapies such as dialysis and transplant..
To do a series of blood tests and urine tests, if necessary you may need a kidney biopsy.
There are five stages of chronic kidney disease. Stage 1 is the closest to healthy kidney function and Stage 5 requires dialysis or a kidney transplant.A chronic kidney disease (CKD) diagnosis may come as a surprise to many people, because the symptoms are often times subtle.
In many cases, kidney damage is the result of another illness that has progressed slowly over the years. The two main causes are diabetes and high blood pressure. If your kidney disease is the result of one of these conditions, the best way to manage it is to treat the illness that is causing it.
The goal of treatment for kidney disease is to slow the progression of the disease. Each person is different and requires individual treatment. The number of doctor visits, dietary modifications and type of treatments will depend on your stage of CKD, additional health issues, weight, blood pressure and lab results..
Being diagnosed with kidney disease can bring up many emotions, such as fear, anger, anxiety, depression and helplessness. These are all-natural responses. Managing health isn’t just about the physical aspects; it’s also about emotional well-being. You may be able to find support from close friends and family.
Bokamoso Private Hospital: Mmopane Block 1
Renal Care Institute: Plot 2734, Hospital Way, Ext 9, Gaborone