MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
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20 years experience
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1. What are the tests done before a kidney transplant?
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Before a kidney transplant, the patient needs to undergo a thorough physical examination. Such tests are conducted to make sure that the patient is physically in sound health and is ready to accept a major organ from a different source to his/her own body. If the patient is already on medication due to some chronic ailment, the doctor may have to plan his operation according to the physical condition of the patient and the medicines taken by him/her. Make sure the images of the screening tests are clear, and all the tests must be done from a reliable laboratory.
Where is the transplanted kidney placed in a patient?
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During the operation, the transplanted kidney is placed in the pelvis rather than its original position. During the transplant, the two arteries (one is for carrying blood to the kidneys and the other for carrying blood away from them) of the kidneys are surgically connected to your pelvis where the new kidney has been placed. A small incision is made in the bladder where the ureters (the tubes that carry urine from the kidneys to the bladder) are connected with the bladder. If you suffer from any discomfort while walking after surgery, immediately inform your surgeon.
It is not always necessary to make a kidney donor undergo tests before transplant.
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Whether you are planning a transplant from a living or a cadaveric donor, it is mandatory for the donor to undergo several tests to ascertain the kidney is healthy enough to be transplanted. Also, the overall health of the donor must be checked before they donate their kidneys. If the donor s kidneys do not match with that of yours, there may be a swap system between you and your donor, which may lead to complications. It is recommended to select your donor from among close associates rather than choosing an unknown person.
Age can be a factor for a patient who is going for a kidney transplant.
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Age is not a factor for a patient who needs a kidney transplant. As long as patients have sound health, can withstand the stress of a major surgery, and can comply with the post-surgery recommendations (e.g., regular follow-up, medication, restricted diet) there is a higher possibility of success in the operation. A thorough check-up of both the donor and the recipient is mandatory before planning for a transplant.
A kidney transplant can fail.
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The reasons for a failure of a kidney transplant are many. There may be donor kidney problem, fluid collection around the kidney, clot formation in the blood vessels of the transplanted kidney, infected kidney, rejection of the transplanted kidney by the body and many others. Post-surgery care and alertness of the response of the patient s body to the newly transplanted organ must be a priority. After the surgery, the patient must not be exposed to an environment where he can contract an infection easily.
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