Is it Possible to Get a New Kidney After Dialysis?

Kidney transplantation remains a viable option for those who have been undergoing dialysis for kidney failure. Transplants can significantly improve the quality of life by restoring kidney function and eliminating the need for dialysis. However, it is important to understand that this procedure is not without criteria and limitations. Here's a detailed guide on the process and considerations.

Eligibility for Kidney Transplantation

Not everyone who needs dialysis qualifies for a kidney transplant. There are several factors that must be considered, including physical health, age, and the availability of compatible donor kidneys. The most critical aspect is that the patient must be a suitable candidate to undergo such a major surgical procedure.

The Process of Getting on the Transplant List

In Rochester, New York, or any other location, the eligibility criteria for starting the process of kidney transplantation are stringent. Clear qualifications must be met, including a Low GFR (Glomerular Filtration Rate). Depending on the specific healthcare provider, the GFR level might determine the eligibility for the cadaver transplant list, with a GFR of 20 being a common threshold. If this level is reached, it may prompt doctors to recommend dialysis, with 15 being another significant threshold.

Preemptive kidney transplants, defined as transplants performed before dialysis starts, are another consideration. While they are not the most common scenario, they might be recommended if a living donor is available and can be matched closely with the recipient. However, the average wait time for a transplant can be quite long, often several years, and many patients may not be able to avoid dialysis while waiting for a suitable donor.

The Transplant Evaluation Process

Once a patient's eligibility for a transplant is confirmed, a comprehensive evaluation is conducted. This includes various medical tests such as blood tests, EKGs, colonoscopies, dental exams, mammograms, and prostate exams to ensure the patient is physically capable of undergoing the surgery. The transplant program will send a letter upon confirmation, followed by regular blood tests to monitor health and compatibility with the potential donor.

Once a donor is identified, the process can be swift, with the patient being called to undergo the surgery as soon as possible. However, without a match or donor, the patient may remain on the waiting list for several years, during which dialysis is a necessary part of their treatment.

The Role of Living Donors

While deceased donor kidneys form a significant portion of the available organs, living donors also play a crucial role. A living donor can be a relative, spouse/partner, neighbor, coworker, or friend. The compatibility between donor and recipient, including blood type and certain genetic factors, must be evaluated to ensure the best possible outcome for the transplant.

Conclusion

Kidney transplantation is a life-changing option for those with kidney failure, but the process is complex and requires careful consideration. If you or a loved one is facing kidney failure or has been on dialysis, discussing the possibility of kidney transplantation with a healthcare provider can provide valuable insights and guidance.