Kidney transplant is a surgical procedure in which a healthy kidney from a living or deceased donor is transplanted into the body of someone with kidney failure. Find out more about the cost, how it works, side-effects, and success rates.
What are the types of kidney transplants?
There are broadly 3 types of transplant:
- Deceased-donor kidney transplant
The kidney is removed from a recently deceased person with consent from the family and is preserved and stored until it needs to be transplanted to a recipient, whose kidneys are failing.
- Living-donor kidney transplant
This procedure involves removing and placing the kidney of a living donor into the recipient with diseased kidneys. - Preemptive kidney transplant
A recipient may undergo preemptive kidney transplant while their kidneys are progressing towards failure and before they have to start dialysis.
Who can be a living kidney donor?
Anyone aged between 18 and 60 years old is eligible to be a living kidney donor, provided they are in good physical and mental health. However medical conditions like high blood pressure, cancer, HIV, diabetes, hepatitis or infection can prevent a person from being a living donor.
Why do you need a kidney transplant?
A patient may require kidney transplant when they have end-stage renal disease, a permanent condition of kidney failure. Diseases that may lead to end-stage renal disease include:
- Diabetes
- Chronic high blood pressure
- Repeated urinary infections
- Polycystic kidney disease
- Glomerulonephritis
- Hemolytic uremic syndrome
- Lupus
Paediatric kidney failure is most commonly caused by birth (congenital) defects and genetic conditions.
When do you need a kidney transplant?
For some patients, it may be more favourable to undergo a kidney transplant before they are required to have dialysis. But a kidney transplant may be riskier than dialysis for a few others.
How is a kidney transplant carried out?
Pre-transplant evaluation
- Finding a donor kidney and consulting the doctor for evaluation.
- Undergoing blood tests, diagnostics tests and psychological and social evaluation
- The recipient’s blood and tissue type should be compatible with the donor
Surgery
- The surgery is performed after the patient is put under general anaesthesia
- The diseased kidneys are left in place, while the new kidney is inserted in the lower abdomen and connected to the blood vessels and bladder
- Once attached, the transplanted kidney will start performing the function of the failing organ
Post-operative care
- Close monitoring to ensure kidney function, identify signs of possible rejection and other complications
- The recipient will need to take immunosuppressants to prevent or reverse rejection
What are the risks involved with getting a kidney transplant?
- Infections
- Blockage of blood vessels in the transplanted kidney
- Leakage or blockage or urine
- Bleeding
- Rejection of the new kidney
- Long-term complications from anti-rejection medication
- High blood pressure
- Increased risk of infections
- Diabetes
- Cancer
How do you prepare for a kidney transplant?
- Sign a consent form permitting the surgery to be performed
- The recipient will need dialysis before the procedure, if they have been on routine dialysis
- Maintain a dietary regimen and curb certain harmful lifestyle practices
- Fasting before surgery:
- Living-donor transplant - 8 hours prior
- Deceased-donor transplant - as soon as a donor kidney becomes available
- The healthcare provider can also ask them to make other specific preparations
What does recovery and post-transplant care entail?
- Regular follow-up visits after leaving the hospital
- Stop smoking and drinking alcohol
- Maintain a healthy diet, avoiding high levels of salt
- Do regular physical activity
If you think you may be facing long-term issues related to the kidneys, you may consult a specialist at a medical facility near you and undergo further evaluation to determine whether or not you require a kidney transplant.