Kidney transplant in India with highest success rates
Chronic kidney disease (CKD) has been recognized as a major public health issue around the world. Patients with end-stage kidney disease (ESKD) who require renal replacement therapy are estimated to number between 4.902 million and 7.083 million worldwide.
Over 2 million people worldwide currently rely on dialysis or a kidney transplant to stay alive.
There is no longer the need to endure the pain of undergoing dialysis for a lifetime. With a kidney transplant in India, take the first step towards regaining your healthy and pain-free life back. The intervention of robotic technology has made minimally invasive surgery with absolute precision and accuracy possible which benefits the patients with faster recovery, smaller scars, and lesser blood loss.
Let me introduce you to one of our patients Linda from Cape Town, South Africa.
Linda is a 43-year-old mother of three children and works in a bank. She loves to go for outing with her family and friends on the weekends.
Linda was a diabetic and had high blood pressure for over eight years, Linda was all too familiar with the need for maintaining her health and following up on doctors’ appointments. Her diabetes and high BP had caused her kidneys to fail, which was also leading her to congestive heart failure.
Linda’s health was deteriorating slowly and she was having fatigue, constant back pain, swelling in the hands and legs.
Linda met the doctor and did an investigation as per the recommendations. The results of the kidney functions test confirmed that Linda’s kidney had failed. Linda’s GFR level was 12 and the doctor gave her the life-altering news that she would need to undergo dialysis.
After three years on dialysis, Linda’s health was declining fast and the doctor told Linda for kidney transplantation. Linda’s son and daughter were both, willing to give their kidney to her mother.
Linda and her family were looking best and most affordable kidney transplantation option. Linda’s elder son Tobey looking for kidney transplant options and his research ends in India where he found expertise and affordable options.
Tobey visited the MedicoExperts website and left the inquiry on behalf of her mother and the MedicoExperts team got in touch with Tobey and explained to him about the treatment procedure and documentation. MedicoExperts team also arranged the online video consultation for Linda with the Surgical Nephrologist. Linda and her family’s doubts regarding the transplantation got cleared.
The doctor suggested Tobey and his sister do the HLA test to check the best match for transplantation.
Tobey and his sister did the test and Tobey’s found to be the best match.
The MedicoExperts team guided Linda and her family for documentation and process.
After 20 days, Linda along with Tobey and her husband landed in India. On the same day, Linda and Tobey got admitted to the hospital and pre-evaluation tests were performed. All the reports of Tobey and Linda were good to perform the transplant surgery.
The surgery day came and the surgeon performed the kidney transplant and the surgery was successful. The doctor is checking all the parameters of Linda and Linda’s body has perfectly accepted Tobey’s kidney. Tobey’s kidney has given a second life to his mother.
Linda and her family thanked doctors and MedicoExperts for the treatment.
Currently, Linda requires no dialysis, and her energy level is very good she is also planning to join the bank soon. Tobey is also perfectly fine.
This could be your story as well, let’s understand what a kidney transplant is.
A kidney transplant is a surgery that involves transferring a healthy kidney from a living or deceased donor to someone whose kidneys are no longer functioning properly.
When your kidneys lose their ability to filter, harmful fluid levels and waste start to accumulate in your body, which may increase your BP and result in kidney failure. End-stage kidney disease occurs when the kidneys have lost about 90% of their ability to function normally.
A deceased donor is someone who recently died from causes that do not affect the organ to be transplanted. Organs of deceased donors usually come from people who chose to donate their organs before their death by signing an organ donor card. Authorization to donate may also be provided by the family of the deceased at the time of death.
Kidney transplantation from a deceased donor happens when a kidney is taken from a deceased donor and is surgically transplanted to the body of a recipient who has malfunctioning kidneys.
Organ types from deceased donors
Several types of kidneys are available from deceased donors. They are used to describe certain anatomical, biological, and social characteristics of donor organs. You can decide not to receive one or all of them, and you can change your mind at any time.
- Standardized Criteria Donors: Donors under 50 years of age who do not meet any of the below criteria assigned to donors under the expanded criteria.
- Expanded Criteria Donors: These organs are from donors over the age of 50 who also have two or more of the following criteria – history of high blood pressure, the donor died of a stroke, or had creatinine over the normal laboratory value (1.5 mg/dl). In the U.S., approximately 15% to 20% of donors meet the expanded criteria.
- Donors with high-risk social behavior: These donors are people who, at one point in their lives, have engaged in high-risk behavior for sexually transmitted diseases, drug use, or have been incarcerated. All of these donors are screened for communicable diseases at the time of organ retrieval. You will be made aware of the high-risk behavior.
All these kidneys provide suitable organs for transplantation, and all are expected to provide good results with good organ function. However, the results maybe 5 to 10% lower than with Standard Criteria organs. Accepting a kidney that is not considered a standard criterion can significantly reduce your wait time.
A living donor transplant is an intervention where a kidney is removed from a healthy donor and surgically placed in someone with kidney failure. The living donor is generally a member of the immediate family (parent, brother or sister, or child). The living donor may also be an uncle, aunt, cousin, or even a partner. Living donors’ kidneys can also come from good people who want to help someone who needs a kidney.
A kidney transplant from a living donor has many advantages over a kidney transplant from a deceased donor, the largest being a much higher success rate. Additional factors include:
A kidney of a living donor usually works right after the transplant. The live donor transplant can be scheduled, enabling the recipient and donor to prepare. You won’t know when a deceased donor kidney will be available, and the surgery needs to be done very shortly after it is available.
If the kidney is donated by a blood relative, there may be a lower risk of rejection.
You might be able to reduce the time you have to wait for a kidney transplant.
In order to find a suitable donor, you’ll need to know your blood group. This is a straightforward blood test. Your donor must have the same blood group as you.
Your tissue type is required so that the transplant team can determine how well you match a donated kidney. A simple blood test is used to determine your tissue type. The transplant team will examine your tissue type and compare it to potential donors to determine whether the donor’s kidney is suitable for transplantation.
Your blood will be tested for infection and diseases (such as HIV, hepatitis B, and hepatitis C), as well as to keep track of your overall health.
What makes a good kidney donor?
Biological siblings are usually the best donors alive because of matching. However, with advances in medication and treatment to prevent rejection, anyone can be considered a donor if their blood type is consistent. The majority of healthy people aged 18 to 60 are potential donors. All living donors are evaluated on an individual basis.
The success rate of kidney transplants performed by live unrelated donors is almost equal to that of live donors.
All potential renal donors must demonstrate that the decision to donate is made freely, electively, and without coercion or meaningful compensation.
What are the symptoms of end-stage kidney disease?
You may experience a wide range of symptoms, including:
- A decrease in how much you urinate
- Inability to urinate
- Malaise, or a general ill feeling
- Unexplained weight loss
- Loss of appetite
- Nausea and vomiting
- Dry skin and itching
- Changes in skin color
- Bone pain
- Confusion and difficulty concentrating
- Sleeping problems, like obstructive sleep apnea and restless leg syndrome (RLS)
- Low libido or impotence
- Edema, or swelling, especially in your legs and hands
Why would you require a kidney transplant?
You may require a kidney transplant if you have end-stage kidney disease or kidney failure and need dialysis to stay alive. Dialysis is a method used to remove waste and other materials from the blood.
Certain kidney conditions that can lead to End-Stage Renal Disease (ESRD) include:
- Kidney failure as a result of diabetes or hypertension
- Polycystic kidney disease and other hereditary disorders.
- Glomerulonephritis is an inflammation of the kidney’s filtration units.
- Hemolytic uremic syndrome, a rare disease with kidney failure.
- Lupus and other disorders of the immune system.
- Kidney stones, an enlarged prostate, or certain types of cancer can block the urinary tract for a long time.
- Other diseases, such as congenital kidney abnormalities, may require kidney transplantation.
There may be additional reasons for your health care provider to recommend a renal transplant.
India has a huge network of hospitals, ranging from world-class medical facilities to mid-range hospitals and state-owned hospitals offering comprehensive medical care. This gives the patient the advantage of selecting a hospital based on their preference of the city and the surgeon.
India’s medical doctors are well known and respected. They are regarded as extremely qualified and competent. Most of the best doctors in India are also foreign-trained and represent or are part of the panel of doctors.
The best hospitals in India are mainly situated in metropolitan cities and are well served by public transport and international airports.
A full health evaluation by a transplant team at a transplant center is required before you can find out if you qualify for a kidney transplant. The evaluation will assist the transplant team in determining whether you are suitable for a kidney transplant.
You may require the following tests:
- Blood and tissue type tests
- Kidney function test and GFR
- Ultrasonography of abdomen
- Tests for HIV and hepatitis
- Prostate exam (for men)
- Mammogram and Pap smear (for women)
- Heart and lung exams
- Kidney and liver tests
- Colon exam (colonoscopy)
Since a kidney transplant is major surgery, it is critical that you are not only physically but also mentally prepared. A mental health evaluation is also required as part of the kidney transplant evaluation.
In the operation theatre, you will be placed on your back. You will be given anesthesia, which will put you to sleep for the duration of the surgery. Your abdomen, or belly button, will be cut by the surgeon.
In this area, your new kidney will be implanted, and the donor’s ureter (the tube that transports urine from the kidney) will be sewn to your bladder. Your own kidneys are usually not removed. You will be taken to the recovery room after the surgeon closes the skin cut. This procedure takes between 2 and 4 hours.
- In the hospital after the transplant surgery, the doctor will be closely monitoring you. Typically, you will spend several days in the hospital while recovering.
- Your transplant team will adjust your immunosuppressive medications and keep a close eye on you for signs that your body is adjusting to the new kidney.
- One day after your surgery, the transplant team will usually advise you to get up and begin slowly moving around.
- You will be discharged from the hospital and will continue to recover at home once you have recovered sufficiently to go home safely.
- Once you’ve returned home, it’s very important that you follow the transplant team’s instructions for taking care of your body after the surgery.
- Heavy lifting, should be avoided because it puts stress or pressure on the area where the surgery was performed.
- You have to regularly monitor your weight and blood pressure.
- If you notice anything unusual or different in your health, contact your doctor right away.
On average, it takes six weeks for the surgery site to heal completely.
How to choose the best hospital for kidney transplants in India?
When selecting a hospital in India for a kidney transplant you must ensure that the hospital provides world-class care and is equipped with cutting-edge medical technology. You should look for a hospital that is JCI/NABH accredited.
The surgeons at the hospital are highly skilled and experienced, with a focus on patient safety, treatment, and success rate.
In addition to choosing a hospital that offers the most up-to-date medical approach, you must ensure that the hospital has a dedicated unit for people undergoing transplants for efficient pre- and post-transplant care.
How to choose the best doctor for your kidney transplant in India?
It is critical to choose the best kidney transplant surgeon to ensure the best possible outcome.
You must consider the following factors when selecting a kidney transplant doctor.
- Evaluate the following qualifications for kidney transplantation: Fellowship in Multi-Organ and kidney transplantation and/or DM (Nephrology).
- Check the number of surgeries that have been performed.
- The success rate should be more than 90 percent.
MedicoExperts empanel doctors are created on the basis of the above criteria.
Guidelines for a kidney transplant in India
To take advantage of kidney transplantation in India, there are some steps and a protocol to follow.
The advanced robotic kidney transplantation in India is a highly successful new procedure. In this minimally invasive surgery, the surgeon carries out a small incision of 4 to 5 cm that benefits the patient with an easy and faster recovery. With the precision of the robot, the kidney transplant surgeon can carry out the surgery in an expert manner with clarity and precision.
Following a robotic kidney transplant in India, the patient has overall better health, quick recovery, and comparatively less blood loss and a minor scar.
The cost of a kidney transplant in India ranges from USD 13,000 to USD 15,000 (971586 – 1121061 INR).
It is estimated that a medical tourist usually saves up to half of his money the way he would ideally do in any other country for a kidney transplant.
The success rate of kidney transplant in India is one of the highest in the world. The current success rate is about 90 percent.
However, many other factors influence kidney transplant success rate, such as the hospital choice, surgical expertise, and post-operative care teams, matching tissue and donor compatibility, whether the donor is blood-related, and more.
Post-surgical infection is an important risk that can affect the success rate, so choose a hospital with the best hygiene standards to ensure you don’t have infections.
After a successful kidney transplant in India, the patient will no longer need dialysis as the newly received kidney will filter blood for the body.
Frequently Asked Questions and patient concerns:
1. How to get a kidney for transplant in India?
Many people seeking a kidney transplant are on a waiting list and must undergo dialysis until an organ is available. A kidney can come from a parent, a non-family living person, or a deceased person (deceased donor or donor); only one kidney is needed to survive.
2. What tests are done before a kidney transplant?
Blood tests to check suitability for any surgical procedure and to make sure there are no infections. ECG, ECHO, or cardiac catheterization (if required) are performed. A chest and abdomen radiograph and an ultrasound of the KUB region are also performed.
- Blood tests include: Blood type, count, urea, serum creatinine, electrolytes, calcium, phosphorus, albumin levels, liver function tests, coagulation profile, thyroid hormone levels, HbA1c
- Serologic testing of HIV, hepatitis B, and hepatitis C.
- Pregnancy test for women with potential fertility.
- Urinalysis for proteinuria and bacteria.
Additional tests to check heart disease and major complications.
3. After a kidney transplant, how long can you live?
For example, a 30-year-old patient on dialysis would have a 15-year lifetime. With a kidney transplant from a deceased donor (a kidney from a person with brain death), life expectancy increases to 30 years. More importantly, a live donor kidney transplant increases life expectancy to 40 years.
4. What is cross-matching in kidney transplants?
To test a recipient of these antibodies, a sample of his blood is mixed with a blood sample from the prospective donor. This test is called “cross-match” and shows how the receptor antibodies react with those of the potential donor. Test results may be positive or negative.
5. What are the treatment options for ESKD?
Two options for End-Stage Kidney Disease in allopathy:
- Life-Long Dialysis
- Kidney Transplantation
6. How long will the recovery take?
On average, it takes six weeks for the surgery location to heal completely.
7. Is a kidney transplant better than dialysis?
For many people with severe chronic kidney disease, kidney transplantation is the treatment of choice because the quality of life and survival (life expectancy) is often better than in dialysis patients.
8. What is the quality of life after a kidney transplant?
Your energy and health will improve. In fact, a successful kidney transplant may allow you to resume your previous lifestyle before developing kidney disease. People who receive kidney transplants live longer than those who remain on dialysis, according to studies.