Renal Transplant

Hi,

I am Dr. Munindra Kumar, Nephrologist. Today I will talk about renal transplant. There are a lot of myths and confusion about renal transplantation. Incidence of renal diseases increasing if a person is having chronic diseases, by the end he ends at the kidney diseases. At this stage, we have only therapy to of our is renal replacement therapy. This therapy is known as dilation therapy. But we should know that there are 3 types of renal replacement therapy. This renal transplantation is based mode of therapy which we offer to a patient. And in several studies, it was clearly proven that this renal transplantation has clearly over benefitted against this dilating therapy like hemodialysis and peritoneal dialysis. But regarding renal transplantation when someone is planning, the first question he has to encounter is with the donor. Question comes which renal transplantation is better like living donor transplant, transplantation between same blood group or against blood group. So, any transplantation is better than any dilating therapy.

If you compare with the quality of lifestyle or expenses, drug therapy, you can see that any transplantation is better. But in a study, it was proven that transplantation between same blood group then survival chances are more. Who is planning for renal transplantation, he should keep this in mind that picking from the same blood group is always better than the other blood group. The 2nd question which comes in mind of a person who is planning for renal transplantation that what is the cost of therapy. There is a myth that the cost is very high. Definitely post-renal transplantation the cost is high and usually, it carries 15k-20k per month. So, in India, it is a big amount but again if you compare with the dialysis therapy then 15-20K per month spending is quite low compared to the person spending on dialysis. So, it is not a big issue. The 3rd thing that we should know that if someone is going under renal transplantation then there are increased chances of infection.

So, I will say that definitely there are increased chances of infection. Because the patient is receiving so many medicines which weaken their immunity. S, again we compare the chances of infection with a general population then definitely chances of infection is much high. You have to consider that someone is going under renal transplantation, he has the increased chances of infection which he can see in the future. So, the last but not the least, if someone is planning for renal transplantation then we should keep in mind regarding like increased incidence of diabetes or increased incidences of malignancies or some other factors. So, this regards I have to say that, if a non-diabetic undergo renal transplantation, they may have increased chances of developing diabetes. Because these immunosuppressive drugs may usually pre-disposes to the development of diabetes.

If a diabetic goes for renal transplantation then diabetic condition definitely worsen. So, these things you need to keep in mind. This is a malignancy. Immunocompromised person and renal transplantation recipient have increased chances of some types of malignancy which is not common in the general population. So, keeping this in mind and ultimately we can conclude that renal transplantation is the best mode of the therapy. If someone is planning for renal transplantation, he should consult a good Dr, he should consult a nephrologist and renal transplantation surgeon. First, understand all the consequences of renal transplantation. What are risks, chances of developing diabetes, infection, cost of therapy and finally they have to plan accordingly? If you have any query regarding renal transplantation, you can consult me through Lybrate.

Thank You!