Kidney Transplant in Istanbul, Turkey by Memorial Hospital Group

• Severe fatigue and weakness

• Swelling in the legs, ankles, or feet

• Persistent nausea and vomiting

• High blood pressure that is hard to control

• Frequent urination or changes in urine color

Memorial Hospitals Group – Kidney Transplantation Package

Kidney Transplantation is the process of replacing a kidney that has developed renal failure with a healthy kidney from a living donor or cadaver. This procedure ensures the continuation of kidney function in the recipient.

Our kidneys are vital organs, and chronic renal failure means permanent kidney deterioration. The only known treatment for chronic renal failure today is kidney transplantation, which is the most common type of organ transplant. Kidney transplants can also be performed in cases of acute kidney failure that require urgent intervention.

Unlike dialysis, which only partially performs kidney functions, kidney transplantation offers a more permanent solution, allowing the patient to live a healthier life without the limitations of dialysis.

Kidney transplantation is essential for patients who cannot function without dialysis and who seek a permanent solution to their renal failure.

On Which Diseases is Kidney Transplant Applied?

Kidney transplants are primarily applied in cases of end-stage renal failure, a condition that develops gradually and often without symptoms. Chronic renal failure is commonly caused by diabetes, high blood pressure, and nephritis.

Symptoms such as swelling under the eyes, edema in the hands and feet, weakness, and foamy urine (due to protein in the urine) often appear when kidney function falls below 30%. Without intervention, kidney function may deteriorate rapidly.

For patients with advanced renal failure, kidney transplantation becomes the best option for improving quality of life and providing permanent healing. In cases of acute renal failure, where kidney function loss occurs rapidly, a transplant may be necessary if the damage is irreversible.

What Are Done Before Kidney Transplant?

Before the transplant, patients undergo evaluations by specialists in nephrology, surgery, cardiology, immunology, radiology, pulmonology, and other related fields. A comprehensive assessment helps determine whether kidney transplantation is necessary. If needed, the process of finding a suitable donor, either from a living person or cadaver, begins within a few days.

Tests include examining the patient for diabetes, hypertension, inflammation, and conducting tissue compatibility tests if a living donor is involved. Advanced imaging such as CT angiography and renal scintigraphy are used to assess kidney health.

How Is a Kidney Transplant Done?

Donor Operation

Living kidney donors undergo a laparoscopic procedure, which involves making small incisions (0.5-1 cm) to remove the kidney. This minimally invasive method reduces pain, shortens recovery time, and minimizes the risk of complications. The donor typically resumes normal activities within a few days and is discharged after 2 days. The cosmetic results are also improved, as the incisions are small and hidden.

Recipient Operation

The kidney is placed in the recipient’s pelvic area, with the donor kidney’s vessels connected to the recipient's pelvic vessels. The kidney’s urinary tract is connected to the recipient’s bladder. After surgery, the recipient is usually discharged within 5 days if the kidney functions immediately. If the transplant comes from a cadaver, the kidney may take a few days or weeks to function fully.

In some cases, robotic kidney transplant surgery using the Da Vinci system may be performed, offering advanced benefits, especially for overweight patients.

What Should Be Watched After Kidney Transplant?

After the transplant, the recipient will stay in the hospital for around 10 days. During this time, detailed instructions on post-transplant care and medications are provided. A follow-up program includes blood and urine tests, which are essential to monitor the transplanted kidney’s function. Patients should avoid crowded places and follow dietary guidelines provided by the nephrology team.

Initially, patients will need frequent check-ups, including tests twice a week, then monthly, and finally quarterly. Medications, especially immunosuppressants, must be taken as prescribed to prevent organ rejection.

Attending Surgeon: Prof. Kamil Yalcin POLAT

• Specialization: Liver Cancer, Organ Transplantation

• Current Position: Head of Department of Organ Transplantation, Memorial Atasehir Hospital, Istanbul, Turkey

• Experience: 34+ years

• Languages: English, German

• 2010 – Present: Head of Department of Organ Transplantation, Memorial Atasehir Hospital, Istanbul, Turkey

• 2003 – 2010: Manager, Ataturk University Organ Transplantation Training, Research, and Implementation Center, Erzurum, Turkey

• 1991 – 2010: Faculty Member, Ataturk University Medical Faculty Department of General Surgery, Erzurum, Turkey

What is the success rate of kidney transplants?

The success rate for kidney transplants is generally high, with many patients experiencing improved quality of life. The specific rate can vary based on individual health factors and the transplant center's expertise.

How long will I stay in the hospital?

Most patients stay in the hospital for about 3 to 7 days after the surgery, depending on their recovery progress. After discharge, regular follow-up appointments are essential to monitor kidney function.

Will I need to take medication after the transplant?

Yes, after a kidney transplant, patients typically need to take immunosuppressive medications to prevent rejection of the new kidney. Your doctor will provide detailed instructions on this.

How long does the transplant surgery take?

The kidney transplant surgery usually lasts between 3 to 5 hours. The exact duration can vary based on the complexity of the case and the surgeon's techniques.

Can I travel after my kidney transplant?

Traveling is generally possible after recovery, but it is crucial to discuss your plans with your healthcare team. They will provide guidance on when it is safe to travel and any necessary precautions.