Type of Surgery

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Last updated: 11/24/2009

Morbidity/Mortality

Survival rates for patients undergoing kidney transplants are 95–96% one year post-transplant, and 91% three years after transplant. More than 2,900 patients on the transplant waiting list died in 2001. The success of a kidney transplant graft depends...

on the strength of the match between donor and recipient and the source of the kidney. According to the OPTN 2002 annual report, cadaver kidneys have a five-year survival rate of 63%, compared to a 76% survival rate for living donor kidneys. However, there have been cases of cadaver and living, related donor kidneys functioning well for over 25 years. In addition, advances in transplantation over the past decade have decreased the rate of graft failure; the USRDS reports that graft failure dropped by 23% in the years 1998–2000 compared to failures occurring between 1994 and 1997.



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The kidney filters blood to produce urine and can do so because of its unique anatomy. This narrated animation shows the anatomy of the kidney and how that anatomy enables the kidney to filter wastes from the blood.

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For a kidney transplant, an incision is made in the lower abdomen (A). The donor kidney is connected to the patient's blood supply lower in the abdomen than the native kidneys, which are usually left in place (B). A transplanted ureter connects the donor kidney to the patient's bladder (C). (Illustration by GGS Inc.) For a kidney transplant, an incision is made in the lower abdomen (A). The donor kidney is connected to the patient's blood supply lower in the abdomen than the native kidneys, which are usually left in place (B). A transplanted ureter connects the donor kidney to the patient's bladder (C). (Illustration by GGS Inc.)




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Other Information

Kidney transplantation or renal transplantation is the organ transplant of a kidney in a patient with end-stage renal disease. Kidney transplantation is typically classified as deceased-donor (formerly known as cadaveric) or living-donor transplantation depending on the source of the recipient organ. Living-donor renal transplants are further characterized as genetically related (living-related) or non-related (living-unrelated) transplants, depending on whether a biological relationship exists between the donor and recipient.


From http://en.wikipedia.org/wiki/Kidney_transplantation

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As a urologist, I've found it's easier to do the PSA test and then sit down with the patient and say here's what the results mean for you. Given what we know right now, that seems a very sensible approach.


-Dr. Evan Vapnek

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