|Anatomy of the Kidney|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Urinary/ureteral obstruction
- Rejection of the new kidney
- Urine leakage into the body
- Blood clot
- Damage to blood vessels or nerves
- Damage to nearby organs
- Cancer risk due to prolonged use of immunosuppressive drugs
- Pre-existing medical conditions, especially certain heart, lung, and liver diseases
- Autoimmune disease
- Current infection
- HIV infection
- Young age or increased age—of either you or the donor
- Poorly matching tissue between you and the donor
- Prior failed transplant
- Conditions that will likely result in a recurrence of kidney failure in the new kidney
What to Expect
Prior to Procedure
- Physical exam
- Review of medications
- Blood tests, including blood chemistries, liver function tests, bleeding profile, and infection testing
- Extensive tissue typing
- Electrocardiogram (EKG)
- Chest x-ray
- Psychological testing and counseling—to help you to be prepared for the transplant
- Continue dialysis as directed by your doctor.
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
- Anti-inflammatory drugs, such as ibuprofen
- Blood thinners
- Anti-platelet medications
- Take medications as directed. Do not take over-the-counter medications without checking with your doctor.
- Eat a light meal the night before. Do not eat or drink anything after midnight.
- Arrange for someone to drive you home. Also, arrange for someone to help you at home.
Description of the Procedure
Immediately After Procedure
- Breathing tube until you can breathe on your own
- IV fluids and medicine
- Bladder catheter to drain urine
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Get out of bed the day after surgery.
- Breathe deeply and cough 10-20 times every hour—this will help your lungs work better after surgery.
- Take immunosuppressive drugs—you will need to take these for the rest of your life. These drugs reduce the chance that your body will reject the new kidney.
- Wear compression stockings to reduce the risk of blood clots.
Take medication as advised by your doctor, which may include:
- Steroid medications to reduce inflammatoin and to prevent rejection
- Diuretic medicines to stimulate kidney function and control blood pressure
- Your new kidney needs to be monitored. Have tests and exams done as directed.
- Weigh yourself daily. Also, measure the amount of fluids you take in and the amount of urine you pass.
- Restrict the amount of salt and protein that you eat.
- If advised by your doctor, avoid alcohol for at least one year.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Passing no or only small amounts of urine
- Pain, burning, urgency, frequency of urination, or persistent bleeding in the urine
- Vomiting, black or tarry stools, diarrhea, or constipation
- Abdominal pain or cramping
- Sore throat or mouth sores
- Cough, shortness of breath, or any chest pain
- Coughing up blood
- Severe headache
- Headache, confusion, lightheadedness, or loss of consciousness
- Pain and/or swelling in your feet, calves, or legs
- Weight gain greater than three pounds in one day
Urology Care Foundation http://www.urologyhealth.org
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
Kidney Cancer Canada http://www.kidneycancercanada.ca
The Kidney Foundation of Canada, Northern Alberta http://www.kidney.ab.ca
Akbar SA, Jafri ZH, et al. Complications of renal transplantation. RadioGraphics. 2005; 25:1335-1356.
Halloran PF. Immunosuppressive drugs for kidney transplantation. N Engl J Med.. 2004; 351: 2715-2729.
Kidney transplant. National Kidney Foundation website. Available at: http://www.kidney.org/atoz/content/kidneytransnewlease.cfm . Accessed August 27, 2013.
Kidney (renal) transplantation. American Urological Association Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=23&display=1 . Updated January 2011. Accessed August 27, 2013.
11/30/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Stock PG, Barin B, et al. Outcomes of kidney transplantation in HIV-infected recipients. N Engl J Med. 2010;363(21):2004-2014.
6/2/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 09/2013 -
- Update Date: 09/30/2013 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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