Living Donor

a. Why living donor transplantation?
b. Living donor transplantation types
b. Donor blood type compatibility
d. Donor exchange transplants
e. What kidney donors should know?

Why living donor transplantation?

All patients with kidney failure should consider living donor kidney transplantation as a treatment option. Living donor transplantation is a better option over deceased donor transplantation due to

  • Better overall survival,
  • No wait time,
  • Better kidney quality and
  • Emotional attachment with the donor.

Living donor transplantation types

  • Living Related Donor Transplants (brother, sister, parents, children)
  • Living Unrelated Transplant
 (spouse, brother-in-law, sister-in-law, friend, co-worker)
  • Living Altruistic Donor Transplants
 (an altruistic kidney donor is a person who donates one of his or her kidneys to a complete stranger)

Donor blood type compatibility

Donor exchange transplants

  • Donor exchange transplant continues to increase in US.
  • A recipient who has a suitable (family or friend), but an incompatible donor (different blood group or recipient has antibody against the donor) can be considered for donor exchange transplants.
  • A similar donor-recipient pair can participate in successful donor exchange transplants
  • Donor exchange transplants can be performed within the transplant center or through a national program (National Kidney Registry).

What kidney donors should know?

  • Kidney donation has to be altruistic. Altruistic means "well being of others"
  • Kidney donors will undergo thorough blood and urine tests for kidney function, liver function, infections, heart tests and X rays.
  • Kidney donors should not have major medical problems [chronic infections, cancer, high blood pressure, diabetes, obesity, major organ diseases (kidney, liver, lung, heart, blood or brain)]
  • Kidney donors must stay in the hospital for a few days immediately after donation.
  • Kidney donors will have some pain immediate after surgery.
  • Kidney donors can return to work in 2-6 weeks after donation.

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