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Kidney Transplant Evaluation & Follow-Up

Kidney transplantation is a life-saving treatment for patients with end-stage renal disease (ESRD). Our comprehensive Kidney Transplant Evaluation & Follow-Up program is designed to ensure that patients receive thorough assessments before surgery and continuous, specialized care afterward to promote long-term success.

Evaluation Phase:

The transplant evaluation process involves a series of medical, psychological, and social assessments to determine if a patient is a suitable candidate for a kidney transplant. Key components include:

  • Medical Testing: Blood tests, imaging studies, cardiac evaluations, and infection screenings to assess overall health.
  • Compatibility Testing: Blood type and HLA tissue typing to find a matching donor.
  • Consultations: Meeting with nephrologists, transplant surgeons, dietitians, social workers, and financial counselors.
  • Psychosocial Assessment: Evaluation of mental health, lifestyle, support system, and ability to adhere to post-transplant regimens.

Post-Transplant Follow-Up:

After the transplant, regular follow-up is crucial to monitor organ function and overall health. This includes:

  • Medication Management: Adjusting and monitoring immunosuppressants to prevent organ rejection.
  • Routine Lab Tests: Regular blood work to track kidney function and detect early signs of complications.
  • Infection Prevention: Guidance on maintaining hygiene and managing immunosuppression-related infection risks.
  • Diet and Lifestyle Counseling: Support for a balanced diet, regular exercise, and healthy habits.
  • Emotional Support: Ongoing counseling for emotional and psychological well-being during recovery and beyond.

Diagnosis

Kidney transplant is generally considered for patients with End-Stage Renal Disease (ESRD) — a condition where kidney function drops below 10-15%. Diagnosis involves:

  • Blood Tests: to evaluate kidney function (e.g., creatinine, GFR).
  • Imaging Tests: such as ultrasound or CT scans to assess kidney structure.
  • Urine Tests: for protein, blood, and other abnormalities.
  • Dialysis History: (if already started).

Treatment / Evaluation Process

The kidney transplant treatment plan involves:

1. Pre-Transplant Evaluation:
  • Complete health checkups including heart, liver, and infectious disease screening.
  • Psychological evaluation to check emotional readiness.
  • Financial and social support assessment.
2. Donor Matching:
  • Can be a living donor (related/unrelated) or a deceased donor.
  • Compatibility and crossmatch tests are done.
3. Transplant Surgery:
  • A healthy kidney is surgically implanted into the lower abdomen.
  • Patient’s own diseased kidneys are usually not removed unless necessary.

FAQs – Kidney Transplant Evaluation & Follow-Up

The procedure is done under general anesthesia, so there is no pain during surgery. Some discomfort may occur during recovery, but it’s manageable with medications.

Patients with chronic kidney disease (Stage 5) or on dialysis are usually evaluated for eligibility based on their overall health, absence of severe infections, cancers, or other major conditions.

A kidney from a living donor can last 15–20 years, while one from a deceased donor typically lasts 10–15 years, depending on various factors like age, health, and medication compliance.

Risks include organ rejection, infections (due to suppressed immunity), and medication side effects. However, with proper care and monitoring, most patients live healthy and active lives.