A successful kidney transplant surgery might offer a better quality of life to the patients than dialysis. To be considered for one, patients must go through a thorough pre-transplant evaluation by a multidisciplinary team which may include Urologists & Transplant Surgeons, Nephrologists, Cardiologists, Dietitian, Nursing staff, etc.
The pre-transplant evaluation may involve:
- Taking complete medical and surgical history of the patient & donor
- A complete physical exam (blood typing, tissue typing, and cross matching; cardiac evaluation, gynecology and orology clearance, psycho-social evaluation, etc.)
- Preparation of legal documentation
- Final decision & allocation of surgery time (if suitable)
Recovery after Transplant Surgery
Hospital recovery for a kidney transplant is usually 5 to 10 days if there are no complications. The length of stay depends on patient’s medical condition and needs. Patient might need to spend 24 to 48 hours in ICU immediately after the. Surgery.
The long term success of a kidney transplant depends on many factors, which includes;
- Regular consultant and follow-up with transplant team
- Patient should take anti-rejection medications as per guidelines by the transplant team, to keep the body from rejecting the new kidney.
- Patient should go through the recommended lab and other testing to assess how well kidney is working after the surgery
- Patient should adopt a healthy lifestyle including proper diet, exercise, and weight loss if needed
What is a Kidney Transplant Surgery?
A kidney transplant is a surgical procedure that’s done to treat kidney failure. The kidneys filter waste from the blood and remove it from the body through urine. They also help maintain body’s fluid and electrolyte balance. If kidneys stop working, waste builds up in the body and can make patient very sick.
People whose kidneys have failed usually undergo a treatment called dialysis. This treatment mechanically filters waste that builds up in the bloodstream when the kidneys stop working. Some people whose kidneys have failed may qualify for a kidney transplant. In this procedure, one or both kidneys are replaced with donor kidneys from a live or deceased person.
Kidney transplant surgery is among the most commonly performed organ surgeries to date. The surgical procedure is performed when a person’s kidneys lose their proper function leading to end-stage renal disease. This condition requires a healthy donor kidney to be placed next to the old kidneys through transplant surgery. A single kidney is sufficient for the body to restore its renal functions.
What is Kidney Rejection?
One risk of a kidney transplant is that patient’s body will reject (fight) the new kidney. This can happen if patient’s immune system realizes that the kidney is from someone else. Though kidney transplants are often successful, there are some cases when patient’s body may refuse to accept the donated kidney shortly after it is placed in your body. It is also possible that the new kidney may stop working overtime.
Your immune system, which protects your body from germs and harmful cells, recognizes new kidney as a foreign tissue, and may try to reject it. To help prevent new kidney from being rejected, your doctor will give you immunosuppressants, which are medicines that decrease patient’s immune response so that the body is less likely to reject your new kidney.
Types of kidney rejection that may happen after your transplant.
- Acute rejection will usually happen within the first three to six months after your kidney transplant. Many kidney transplant patients have some acute rejection episodes, which means their body shows signs that it is fighting the new kidney.
- Chronic rejection happens more often and occurs slowly over the years after kidney transplant. Over time, the new kidney may stop working because immune system will constantly fight it.
What are Signs and symptoms of Kidney Rejection?
- Feeling like having flu, body aches, chills, headache and more
- Fever of 101° F or higher
- Urinating less than usual
- Very high blood pressure
- Sudden weight gain
- Ankle swelling
- Pain or tenderness over the area where your transplant was done
- Feeling very tired
Urology & Kidney Transplant Clinic:
Manager Kidney Transplant:
Mr. Saeed Ahmed