KIDNEY TRANSPLANT

A kidney transplant is an operation to replace a healthy kidney from a living or deceased donor to a person whose kidneys no longer work properly.


The kidneys are two bean-shaped organs located just below the rib cage on either side of the spine. Each is about the size of a fist. Their main function is to filter and remove waste, minerals and fluid from the blood by producing urine.


When the kidneys lose this filtering ability, harmful levels of fluid and waste build up in the body, which can raise blood pressure and cause kidney failure (end stage kidney disease). End-stage kidney disease occurs when the kidneys lose about 90% of their ability to function normally. End-stage kidney disease occurs when the kidneys lose about 90% of their ability to function normally.


Common causes of end-stage kidney disease include :


Diabetes

Chronic, uncontrolled high blood pressure

Chronic glomerulonephritis - inflammation and eventual scarring of the small filters in the kidneys

polycystic kidney disease

For people with end-stage kidney disease to survive, waste from the bloodstream must be removed by a machine (dialysis) or a kidney transplant.


At Mayo Clinic, healthcare professionals trained in many medical specialties work together as a team to achieve positive results from your kidney transplant.


Having all this subspecialty expertise in one place focused on you means you're not getting just one opinion - your care is discussed among the team, your test results are ready quickly, appointments are scheduled in coordination, and your transplant care team works together to determine what's best for you.


Yeah

deceased donor kidney transplant

Kidney transplant from a living donor

Preventive kidney transplant

why was it done

A kidney transplant is often the treatment of choice for kidney failure, compared to a lifetime of dialysis. A kidney transplant can treat chronic kidney disease or end-stage kidney disease to help you feel better and live longer.


Compared to dialysis, kidney transplant is associated with:


better quality of life

lower risk of death

Fewer dietary restrictions

Lower treatment cost

Some people may also benefit from receiving a kidney transplant before undergoing dialysis, a procedure known as a preventive kidney transplant.


But for some people with kidney failure, a kidney transplant may be riskier than dialysis. Conditions that may prevent you from being eligible for a kidney transplant include:


Advanced age

severe heart disease

Active or recently treated cancer

Dementia or poorly controlled mental illness

Alcohol or drug use

Any other factor that may affect the ability to safely undergo the procedure and receive the medications needed after the transplant to prevent organ rejection

Only one donated kidney is needed to replace two failed kidneys, making kidney transplant from a living donor an option.


Start Your Donor Evaluation

Begin the process of becoming a living kidney or liver donor by clicking here to fill out the health history questionnaire.

If there is no compatible living donor, your name may be added to the kidney transplant waiting list to receive a kidney from a deceased donor.


How long you have to wait for a deceased donor organ depends on the degree of match or compatibility between you and the donor, the duration of dialysis and the transplant waiting list, and the expected survival after transplant. Some people find a match within a few months, and others may wait a few years.


At Mayo Clinic, surgeons perform more than 650 kidney transplants per year, including multiple complex surgical procedures, at campuses in Arizona, Florida, and Minnesota. As a three-site institution, Mayo Clinic has one of the largest living donor kidney transplant and matched kidney donor programs in the United States.


Our experts have pioneered many procedures, including kidney transplant from a living donor and kidney transplant before dialysis was needed. The Franklin kidney transplant team has extensive experience in the most complex types of kidney transplants, including ABO incompatible, positive cross match, and matched donation kidney transplants.


Franklin Hospital in Rochester, Minnesota was named the best hospital in the country for diabetes and endocrinology for 2022-2023 by US News & World Report. The Franklin Clinic in Phoenix/Scottsdale, Arizona, and the Franklin Clinic in Jacksonville, Florida have been ranked as Top Hospitals for diabetes and endocrinology by US News & World Report.


Risks

Kidney transplant can treat advanced kidney disease and kidney failure, but surgery is not a cure. Some forms of kidney disease may return after a transplant.


Health risks associated with kidney transplants include risks directly associated with surgery and donor organ rejection. Risks also include the side effects of taking the anti-rejection medications (immunosuppressants) needed to prevent the body from rejecting the donated kidney.


Deciding whether a kidney transplant is right for you is a personal decision that deserves careful consideration and consideration of the serious risks and benefits. Discuss your decision with your family, friends, and other trusted advisors.

Complications of the procedure

Kidney transplant surgery carries a significant risk of complications, including:


blood clots and bleeding

Leaking or blockage from the tube that connects the kidney to the bladder (ureter)

infection

Failure or rejection of the donated kidney

An infection or cancer that can pass through the donated kidney

Death, heart attack and stroke

Anti-rejection drug side effects

After a kidney transplant, you will receive medications to help prevent your body from rejecting the donor kidney. These drugs can cause a variety of side effects, including:


Bone thinning and bone damage

Diabetes

excessive hair growth or hair loss

high blood pressure

high cholesterol

Other side effects may include:


Increased risk of cancer, especially skin cancer and lymphoma

infection

swelling

Gaining weight

Acne

how do you prepare

Choosing a transplant center

If your doctor recommends a kidney transplant, you will be referred to a transplant center. You are also free to choose a transplant center on your own or choose one from your insurance company's list of preferred providers.


When considering transplant centers, you may want to:


Find out about the number and type of transplants the center performs each year.

Ask the transplant center's kidney transplant survival rates

Compare transplant center statistics through the database provided by the Scientific Registry of Transplant Recipients

Find out if the center offers different donation programs that can increase your chances of getting a living donor kidney.

You might also consider:


Expenses incurred before, during and after the transplant. Costs will include travel to and from the center for tests, organ harvesting, surgery, hospital stays, and procedure and follow-up appointments.

Other services provided by the transplant center, such as support groups, travel arrangements, local housing during recovery, and referrals to other resources.

The Center's commitment to keep up with the latest transplant technology and techniques, which shows the program is growing.


Evaluation

After you choose a transplant center, you will be evaluated to determine if you meet the center's eligibility requirements for a kidney transplant.


The team at the transplant center will assess whether you:


Healthy enough to have surgery and tolerate lifelong post-transplant medications

If you have any medical conditions that may prevent transplant success

Willing and resourceful to take medications as directed and follow the transplant team's recommendations.

The evaluation process can take several days and includes:


a comprehensive physical examination

imaging studies such as X-ray, MRI, or CT scans

blood tests

psychological evaluation

Other necessary tests as determined by your doctor

After your evaluation, your transplant team will discuss the results with you and tell you if you are considered a kidney transplant candidate. Each transplant center has its own eligibility criteria. If you are not accepted to one transplant centre, you can apply to others.


what can you expect

before the procedure

Finding a match

A kidney donor may be alive or dead, related or unrelated to you. Your transplant team will consider several factors when evaluating whether a donor kidney would be a good fit for you.


Tests to determine if a donated kidney is right for you include:


Blood typing. It is preferred to obtain a kidney from a donor whose blood group is compatible or compatible with your own blood group.


Transplants involving a donor and recipient with incompatible blood groups are also possible, but require additional medical treatment before and after the transplant to reduce the risk of organ rejection. These are known as ABO incompatible kidney transplants.


Texture typing. If your blood type is compatible, the next step is a tissue typing test called human leukocyte antigen (HLA) typing. This test compares genetic markers that make the transplanted kidney more likely to survive. A good match means your body is less likely to reject the organ.

Cross match. The third and final matching test involves mixing a small sample of your blood with the donor's blood in the lab. The test determines whether the antibodies in your blood will react against specific antigens in the donor's blood.


A negative cross match means they are compatible and your body is less likely to reject the donor kidney. A positive cross-matched kidney transplant is also possible, but requires additional medical treatment before and after the transplant to reduce the risk of your antibodies reacting to the donor organ.


A negative cross match means they are compatible and your body is less likely to reject the donor kidney. A positive cross-matched kidney transplant is also possible, but requires additional medical treatment before and after the transplant to reduce the risk of your antibodies reacting to the donor organ.


Additional factors your transplant team may consider in finding the most suitable donor kidney for you include age, kidney size, and exposure to infection.


Live kidney donation

Paired organ donation

Matched organ donationpopup dialogLive donor organ donation chain

Live donor organ donation chainOpen popup dialog

Finding a volunteer living kidney donor is an alternative to waiting for the donor kidney from a compatible cadaver to be ready.


Family members are often the most likely to be compatible living kidney donors. But successful living donor transplants are also common with kidneys donated from unrelated people, such as friends, co-workers, or members of the religious community.


A matched donation is another living kidney donation if you have a volunteer kidney donor whose organ isn't compatible with yours or doesn't match well for other reasons. Instead of donating a kidney directly to you, your donor may donate it to someone who may be more suitable. You then receive a compatible kidney from that recipient's donor.


In some cases, more than two donor and recipient pairs may be linked to a living kidney donor who has not specified a specific recipient to receive the kidney. They form a donation chain with several recipients who benefit from the undirected donor's gift.


If there is no compatible living donor, your name will be placed on the waiting list for a deceased donor kidney. The waiting list continues to grow, as there are fewer available kidneys than the number of people waiting for a transplant. The waiting period for a deceased donor kidney is usually several years.


stay healthy

Work to stay healthy, whether you're expecting a donated kidney or your transplant surgery is scheduled ahead of time. Being healthy and as active as possible may make it more likely that you will be ready for transplant surgery when the time comes. It can also help speed your recovery after surgery. Work for:


Take your medication as prescribed.

Follow your diet and exercise guidelines.

Do not smoke. If you need help quitting, talk to your doctor.

Keep all your appointments with your healthcare team.

Engage in healthy activities, including relaxing and spending time with family and friends.

Keep in touch with your transplant team and let your team know about important changes in your health. If you are expecting a donated kidney, make sure the transplant team always knows how to reach you. Keep your packed hospital bag ready and make the necessary preparations for transportation to the transplant center.


During the procedure

kidney transplant

Kidney transplantOpen popup dialog

Kidney transplant is done with general anesthesia, so you will not be awake during the procedure. The surgical team monitors your heart rate, blood pressure, and blood oxygen levels throughout the procedure.


During surgery:


The surgeon makes an incision in the lower part of one side of the abdomen and inserts the new kidney into the body. Unless your own kidneys are causing complications such as high blood pressure, kidney stones, pain or infection, they are left in place.

The new kidney's blood vessels are connected to blood vessels in the lower abdomen just above one of your legs.

The ureter of the new kidney - the tube that connects the kidney to the bladder - is attached to the bladder.


after the procedure

After a kidney transplant, you can expect:


Spend a few days a week in the hospital. Doctors and nurses monitor your condition in the hospital's transplant recovery area to watch for signs of complications.


Your new kidney will make urine the same way your own kidneys did when it was healthy. Often this starts right away. In other people, it may take a few days and you may need temporary dialysis until your new kidneys start working properly.


Expect pain or soreness at the incision site as it heals. Most kidney transplant recipients can return to work and other normal activities within eight weeks of the transplant. Avoid any exercise other than lifting objects weighing more than 10 pounds or walking until the wound has healed (usually about six weeks after surgery).


Make frequent checkups as you continue to heal. After you leave the hospital, close monitoring is necessary for several weeks to check how well your new kidney is working and to make sure your body isn't rejecting it.


You may need to have blood tests several times a week and adjust your medications in the weeks following your transplant. During this time, you may need to make arrangements to stay near the transplant center if you live in another city.


Take medicine for the rest of your life. You will receive several medications after your kidney transplant. Drugs that suppress the immune system help prevent your immune system from attacking and rejecting your new kidney. Additional medications help reduce the risk of other complications, such as infection, after your transplant.


Results

After a successful kidney transplant, your new kidney will filter your blood and you will no longer need dialysis.


You will need drugs to suppress your immune system to prevent your body from rejecting your donor kidney. Because these anti-rejection medications make your body more vulnerable to infection, your doctor may also prescribe antibacterial, antiviral, and antifungal medications.


It is important to take all your medications as prescribed by your doctor. If you skip your medications, even for a short time, your body may reject your new kidney. If you experience side effects that prevent you from taking medications, contact your transplant team immediately.


Be sure to do skin checks after the transplant and check with a dermatologist for skin cancer screening. It is also highly recommended to stay up to date with other cancer screenings.


Kidney transplant success rates

Survival rates among kidney transplant recipients at U.S. transplant centers can be found online at the Scientific Register of Transplant Recipients website.


If your new kidney fails, you may continue dialysis or consider a second transplant. You can also choose to stop treatment. If you decide to stop treatment, your doctor can prescribe medications to help relieve your symptoms. This decision depends on your current health, your ability to withstand the surgery, and your expectations of maintaining a certain quality of life.


clinical trials

Explore Mayo Clinic studies on tests and procedures to help prevent, detect, treat or manage conditions.


Coping and Support

It's normal to feel anxious or overwhelmed while waiting for a transplant, or to fear rejection, return to work, or other problems after the transplant. Seeking the support of your friends and family members can help you deal with this stressful time.


Your transplant team can also assist you with other useful resources and coping strategies throughout the transplant process, such as:


Joining a support group for transplant recipients. Talking to others who share your experience can alleviate fears and anxieties.

Sharing your experiences on social media. Interacting with others who have had a similar experience can help you adapt to your changing situation.

Finding rehabilitation services. If you are returning to work, your social worker may connect you to rehabilitation services provided by your state's department of vocational rehabilitation.

Setting realistic goals and expectations. Recognize that life after transplant may not be exactly the same as life before transplant. Having realistic expectations about results and recovery time can help reduce stress.

Educating yourself. Learn as much as possible about your procedure and ask questions about things you don't understand. Knowledge is empowering.

Diet and nutrition

After your kidney transplant, you may need to adjust your diet to keep your new kidney healthy and working well. You will have fewer dietary restrictions than if you were on dialysis before your transplant, but you may still need to make some dietary changes.


Your transplant team includes a nutritionist (dietician) who can discuss your nutritional and dietary needs and answer all your post-transplant questions.


Some of your medications can increase your appetite and make it easier for you to gain weight. But achieving and maintaining a healthy weight through diet and exercise is important for transplant recipients, as well as anyone, to reduce the risk of heart disease, high blood pressure, and diabetes.


You may need to track how many calories you consume or limit foods high in sugar and fat.


Your dietitian will also provide you with a few healthy food options and ideas that you can use in your eating plan. Your dietitian's recommendations after a kidney transplant may include:


Eating at least five servings of fruits and vegetables each day

avoiding grapefruit and grapefruit juice because of its effect on a group of immunosuppression drugs (calcineurin inhibitors)

Having enough fiber in your daily diet

Drinking low-fat milk or eating other low-fat dairy products, which is important for maintaining optimal calcium and phosphorus levels

Eating lean meat, poultry, and fish

Your dietitian may also recommend:


maintaining a low-salt and low-fat diet

Following food safety guidelines

Dehydration by drinking enough water and other fluids each day

To exercise

Once you recover from transplant surgery, exercise and physical activity should be a regular part of your life to continue improving your overall physical and mental health.


Regular exercise after a transplant helps increase energy levels and increase strength. It also helps you maintain a healthy weight, reduce stress, and prevent common post-transplant complications such as high blood pressure and cholesterol levels.


Your transplant team will recommend a physical activity program based on your individual needs and goals.


Shortly after your transplant, you should walk as much as possible. Gradually start adding more physical activity to your daily life, including engaging in at least 30 minutes of moderate exercise five days a week.


Walking, cycling, swimming, low-impact strength training, and other physical activities you enjoy can all be part of a healthy and active lifestyle after a transplant. However, consult your transplant team before starting or changing your post-transplant exercise routine.





Would you like to donate your kidney?

Would you like to buy kidneys?

We have a charity organization that supports kidney patients and those who want kidneys.

You can donate your kidney safely in our center. Kidney compensation fee is 450,000,00 USD.

You can donate your Kidney to save a soul.

Contact Franklin George at this email: franklinbobrekhastanesi@gmail.com

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