|Anatomy of the Kidney|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- High blood pressure
- Systemic lupus erythematosus
- Interstitial nephritis
- Polycystic kidney disease
- Damage from severe pyelonephritis (swelling in the kidney, often due to bacterial infection)
- Rejection of the new kidney
- Urine leakage into the body
- Blood clot
- Damage to blood vessels or nerves
- Damage to nearby organs
- Urinary obstruction
- 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
- Extreme age (young or old) 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 medicines
- Blood tests, including blood chemistries, liver function tests, bleeding profile, and infection testing
- Extensive tissue typing
- Electrocardiogram (ECG, EKG) —a test that records the heart's activity by measuring electrical currents through the heart muscle
- Chest x-ray —a test that uses radiation to take a picture of structures inside the chest
- 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 medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs, such as aspirin
- Blood thinners, such as clopidogrel or warfarin
- Take medicines as directed. Do not take over-the-counter medicines 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
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 immunosupressive 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.
Take medicine as advised by your doctor, which may include:
- Steroid medicines to decrease swelling in the new kidney
- Diuretic medicines to help rid your body of built up fluid
- 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, or 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, dizziness, light-headedness, 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/
National Kidney Foundation http://www.kidney.org/
Kidney Cancer Canada http://www.kidneycancercanada.ca
The Kidney Foundation of Canada Northern Alberta and the Territories Branch http://www.kidney.ab.ca/
Akbar SA, Jafri ZH, Amendola MA, et al. Complications of renal transplantation. RadioGraphics. 2005; 25: 1335-1356.
Halloran PF. Immunosuppressive drugs for kidney transplantation. NEJM. 2004; 351: 2715-2729.
Kidney transplant. National Kidney Foundation website. Available at: http://www.kidney.org/atoz/content/kidneytransnewlease.cfm . Accessed December 13, 2012.
Kidney (renal) transplantation. American Urological Association Foundation website. Available at: http://www.urologyhealth.org/adult/index.cfm?cat=08&topic=123 . Updated January 2011. Accessed December 13, 2012.
11/30/2010 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Stock PG, Barin B, Murphy 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 DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Adrienne Carmack, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -
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.
Copyright © EBSCO Publishing
All rights reserved.