Today, the most successful treatment for kidney failure is kidney transplantation. Kidney transplantation provides long and healthy life. In all developed countries as well as our country's ministry of health recommends the provision of information to patients about kidney transplantation as first stage treatment and recommends the patients that will begin dialysis treatment to be necessarily evaluated for undergoing kidney transplantation of by admitting to an organ transplantation center.
Anyone can be transplanted except patients, who are detected severe heart disease that cannot carry the risk of surgery by cardiologists, with cancer disease, with active infectious diseases. If you have a relative who wants to give you kidney, you can reach a healthy life by undergoing living donor kidney transplantation in a few weeks. The patients, who do not have a chance of living donor transplantation, are registered to "National Kidney Transplantation Waiting List" to undergo cadaveric kidney transplantation.
The end-stage kidney patients, who admitted to our center, are welcomed by our organ transplantation coordinators. Kidney transplantation candidates are subjected to a thorough screening. Blood tests, radiological tests, cardiac examination is completed. They are evaluated by experts including nephrology first, kidney transplantation surgeon, cardiology specialist and other necessary experts in a multidisciplinary manner. The patients, who are eligible for inclusion in list of cadavers, are registered to the private data system of the Ministry of Health.
After this stage, the patient is enrolled into National Waiting List for kidney transplantation with an own reference number. If one of your relatives wants to give kidney to you, the donor is examined in detail for living donor kidney transplantation. When you come to the interview, we particularly recommend you to assess your opportunities on especially living donor kidney transplantation before admitting to us and to include your relatives, who think to give kidney to you, in this interview.
If you have a relative that can give you kidney, you may be transplanted within a few weeks. Legally required degree of kinship includes 4 generations. So even if your partner’s brother and nephew can donate kidney to you. If more distant relatives or non-relative want to give kidney to you, your prepared files are submitted to the ethics committee. In case that the ethics committee approves, kidney transplantation from your loved one is performed.
Preparation phase of the donor and the recipient for living donor kidney transplantation is completed within a week in our center.
The priority in the living donor kidney transplantation is to avoid damage to the donor. For this reason, very detailed blood and urine tests, computed tomography scan of the abdomen is performed in the kidney donor, and passes through expert evaluation.
However, individuals who are detected to be healthy are considered as kidney donors.
No additional difference for living donor kidney transplantation is taken from the patients with SSI assurance in our center. There is no longer a financial hassle in front of patients, who want to surrender themselves to our team’s experience for kidney transplantation.
The patients that have donor are undergoing transplantation without paying a difference during the preparation stages as well during the surgery by admitting to our center.
When it comes to the first year after living donor kidney transplantation, 95% of a healthy lifestyle is provided. The success of our team in kidney transplantation is same with the results of the most successful centers in USA and Europe. Accordingly, 95% of successful results have been reached living donor kidney transplantation. 80% of the patients, who had living donor transplantation, can live a life free from dialysis after five years.
The results of living donor transplantation are more successful than cadaveric transplantation. The most important reason for this is a healthy kidney that has been previously examined in detail is transplanted in living donor kidney transplantation unlike cadaveric transplantation. Operating the donor and recipient in the best state of health after thoroughly examination beforehand under a controlled manner also contributes to the success.
Many years can be lost when waiting until receiving kidney from relatives and saying to undergo cadaveric kidney transplantation. There are over 50 thousand patients with renal failure in our country and half of these patients are waiting on the cadaver waiting list. For this reason, if there is a suitable kidney donor of the patient who has kidney failure transplantation can be immediately performed and will sustain healthy life. In this case, the life of one more person, who has no chance of living donor kidney transplantation and is waiting cadaveric kidney transplantation, will be spared.
Cross-transplantation (kidney brotherhood) method is an appropriate method to overcome the problem of blood group incompatibility between donor and recipient. In this case, donor change can be made between the recipient with blood group A and donor couple with blood group B, and recipient with blood group B and donor couple with blood group A; and both operations can be performed by the admission of the patients and the donors at the same time
It was shown that healthier and longer life can be provided after kidney transplantation in case the time spent on dialysis in renal failure patients is short. The reason for the success in early transplantation is to be performed kidney transplantation before the development of advanced health problems in kidney patients. The best option for the renal failure patients with end-stage is to be performed kidney transplantation before starting dialysis at all.
When you first came to our center, you will meet with the coordinators, organ transplantation surgeon and nephrology specialist in our transplantation team. After performing your history and physical examination in a detailed way, your current examinations will be evaluated and necessary further examinations will be asked. Determination of blood group, tissue type determination and antibody level determination examinations will be performed at the same time.
When necessary, mutual information transfer is performed with you physician following kidney disease. When you come to the conversation, we strongly recommend you to evaluate your opportunities especially on living-donor kidney transplantation before coming to us and to have your relatives that think to give kidney in this conversation. When you apply to us, your kidney disease and other health problems will be evaluated in detail.
The evaluation of cardiac performance in patients that will undergo kidney transplantation is very important. The patients that will undergo living-donor kidney transplantation are evaluated with echocardiography or stress test before the operation.
If you have a relative that might want to give you kidney, also he/she will be evaluated by nephrology specialist and transplantation surgeon in detail. The most important basic principle in living-donor organ transplantation is based on avoiding damage to the kidney donor, who is without any health problem and voluntarily making a significant to give life to a relative. If the health condition of the donor after examination is evaluated good, hemogram, biochemical and serological blood tests are performed first. If a health problem is not detected in these tests, the structure and vascularisation of the kidneys will be evaluated in detail with three-dimensional abdominal computed tomography.
At the same time if necessary, will be evaluated by a cardiologist, a chest diseases specialist and a psychiatrist. In case where no problem that might affect the health status of the donor is present as a result of all these tests, living-donor kidney transplantation can be performed.
Routine blood and imaging tests that will be performed to the people to be performed kidney transplantation before transplantation are completed within two-three days. Cardiological tests such as echocardiography performed recently are evaluated. In cases such as previously presence of tuberculosis or a similar infectious disease, kidneys causing infections frequently, polycystic kidneys, presence of hepatitis B or C further examinations may be requested. Existing diseases should be carefully evaluated prior to transplantation for ensuring everything to go smoothly after kidney transplantation.
The preparations made by the person, who wants to donate kidney, are carried out with blood and urine tests, tissue and cross examinations, expert assessments and kidney computed tomography in the final stage. Blood and urine tests of the kidney donor are performed first. All blood and urine tests result within a day. To collect all of your urine within 24 hours is asked for urinalysis. Therefore, the donor person needs to begin to accumulate urine the day before examination. Take a clean, empty, plastic water container for 24-hour urine collection. It is very valuable to collect every drop of urine you make in terms of the result of the test to be performed.
You can start urine collection from the time you normally wake up in the morning. Pour the first urine after waking-up to the toilet. Collect your urine you make all day and overnight into the given container and also make your first urine next morning into the container that you accumulate urine. The urine collection process will end when you add the first urine of the next day to the collection container. All of the collected urine should be submitted to the laboratory.