Kidney Transplantation: Facts and Myths

By Dr. Sagar Gupta in Kidney Transplant Nephrology & Renal Transplant

Jul 4, 2022

When is a Kidney Transplant Needed?

A kidney transplant is necessary for patients whose kidneys have permanently failed, resulting in irreversible damage. This condition is classified as chronic kidney disease (CKD) stage 5 or End Stage Renal Disease (ESRD). For these patients, treatment options include lifelong dialysis or kidney transplantation, with the latter being the preferred choice whenever feasible.

What is the Ideal Timing for Kidney Transplantation?

International guidelines suggest initiating the transplant evaluation process when kidney function declines below 20%. Patients who undergo kidney transplantation before starting dialysis, known as pre-emptive transplantation, generally have better outcomes and improved health.

Why is Kidney Transplantation Preferable to Dialysis?

Kidney transplantation offers numerous advantages over dialysis. Transplant recipients typically experience longer life spans and a higher quality of life, avoiding the side effects and lifestyle restrictions associated with dialysis. Additionally, the overall cost of kidney transplantation in Delhi/NCR is significantly lower than the ongoing expenses of lifelong dialysis.

Can a Kidney Transplant Be Performed if Blood Groups Do Not Match?

Yes, kidney transplantation can still occur even if blood groups are incompatible. This process, known as ABO incompatible kidney transplantation, requires an additional procedure called plasmapheresis or immunoadsorption to remove antibodies from the blood. The expert team of nephrologists and urologists at Metro Heart Institute is well-equipped to manage such cases.

Is it safe for a donor to give one of their two kidneys?

es, donating a kidney is typically regarded as a safe procedure.While minor complications can arise, similar to any surgical intervention, most donors experience favorable outcomes. Research indicates that the risk of developing kidney failure after donation is approximately 1 in 1,000.

Can a Diabetic Patient Receive a Kidney Transplant?

Absolutely! Diabetes is the leading cause of kidney failure worldwide, and it is not a contraindication for transplantation. Many diabetic patients successfully receive kidney transplants and can lead healthy lives post-surgery.

What are the Risks Associated with Kidney Transplantation?

As with any major surgery, kidney transplantation carries inherent risks. Potential complications include those related to anesthesia, bleeding, and infection. Additionally, transplant recipients must take immunosuppressant medications, which can increase the risk of infections in the long term, including urinary tract infections, pneumonia, and certain viral infections.

By understanding these key facts and addressing common myths about kidney transplantation, patients and their families can make informed decisions about their treatment options. If you have questions about kidney health or transplantation, consult with a qualified healthcare provider for personalized guidance.