Understanding Kidney Transplantation

A Comprehensive Guide for Patients

Internal Medicine

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Last updated: Mar 24, 2025

What is a Kidney Transplant?

A kidney transplant is a surgical procedure where a healthy kidney from a donor is placed into a person whose kidneys no longer function properly. This procedure is typically recommended for end-stage kidney disease (ESKD).

Types of Kidney Transplants

Living Donor Transplant

  • Kidney comes from a living person
  • Usually from a family member or close friend
  • Generally better outcomes
  • Shorter waiting time

Deceased Donor Transplant

  • Kidney comes from someone who has recently died
  • Matched through national waiting list
  • Longer waiting times

The Transplant Process

Pre-Transplant Evaluation

  1. Medical Assessment

    • Blood type and tissue matching
    • Overall health evaluation
    • Psychological evaluation
  2. Waiting List Placement

    • Registration with transplant center
    • Regular health updates

The Surgery

  • Takes 3-4 hours
  • General anesthesia
  • New kidney placed in lower abdomen
  • Original kidneys usually left in place

Post-Transplant Care

Immediate Recovery

  • Hospital stay: 4-7 days
  • Close monitoring for rejection
  • Pain management
  • Learning new medication routine

Long-Term Management

  • Anti-rejection medications (immunosuppressants)
  • Regular follow-up appointments
  • Lifestyle modifications
  • Infection prevention

Risks and Complications

Early Complications

  • Bleeding
  • Infection
  • Blood clots
  • Rejection

Long-Term Considerations

  • Medication side effects
  • Increased infection risk
  • Regular monitoring needed

Life After Transplant

Expected Outcomes

  • Improved quality of life
  • No dialysis needed
  • Better energy levels
  • Dietary freedom

Lifestyle Changes

  • Taking medications consistently
  • Regular exercise
  • Healthy diet
  • Regular medical check-ups

When to Seek Medical Help

  • Fever or chills
  • Decreased urine output
  • Pain or tenderness around transplant site
  • Unusual swelling
  • New onset fatigue

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