FSGS, or focal glomerulosclerosis, treatment options include corticosteroids and other immunosuppressive medications as well as blood pressure medications and dietary adjustments, according to the National Kidney Foundation. The scarred glomeruli characteristic of FSGS are irreparable, so treatment focuses on slowing the progression of the disease.
FSGS patients may require an ACE inhibitor, a medication that lowers urine protein and controls blood pressure by blocking the hormones of the renin angiotensin system, as stated by Nephcure Kidney International. They may also need statins to lower cholesterol, anticoagulants to protect against blood clots, and diuretics to control edema. Patients must consume a diet with controlled levels of protein and fluids according to the doctor's instructions. This diet is normally low in salt and saturated fats and rich in fruits and vegetables. Avoiding smoking, engaging in exercise and consuming adequate vitamins may also be part of the treatment regimen.
Response to treatment, complications and progression of FSGS vary from patient to patient, and some patients may eventually progress to kidney failure, according to the National Kidney Foundation. Dialysis or a kidney transplant is necessary to keep the patient alive at this point; however, FSGS can recur after a transplant. Factors such as overall health and age may impact the outcome of a kidney transplant.