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Kidney Transplantation

Kidney Transplantation Cost in India


Kidney transplantation is also known as renal transplantation is the organ transplant of a kidney into a patient with end-stage renal disease.


Kidney Transplantation Cost in India

For A Patient From INDIA

Kidney Transplantation

Starts From USD 8500
(Indian Rupees 610640)

No. of Travellers

1

Days in Hospital

2

Days Outside Hospital

2

Total Days In India

4


  Treatment Cost

USD 61

( 8500Indian Rupee )


STARTS FROM

STARTS FROM

USD 61

  Visa FEE

USD 0

( 0 Indian Rupee )


USD per person.

  Return Airfare

USD 0

( 0 Indian Rupee )


Return fare USD per person.

  Hotel

USD 0

( 0 Indian Rupee )


20 USD * 0 days

45 USD * 0 days

100 USD * 0 days

COMFORT

USD 20

3-Star

USD 45

4 and 5-Star

USD 100

Near Hospital, 2 Beds, Air-Conditioned, Attached Bathroom, TV,
FREE Wi-Fi and Breakfast. Kitchen for Self-Cooking.

Near Hospital, 2 Beds, Air-Conditioned, Attached Bathroom, TV,
Round the Clock Room Service, FREE Wi-Fi and Daily Breakfast. Kitchen available for self-cooking.

Near Hospital, 2 Beds, Air-Conditioned, Attached Bathroom, TV,
Round the Clock Service, FREE Wi-Fi and Daily Breakfast. Entertainment, Swimming Pool and other comfort.

  Food

USD 0

( 0 Indian Rupee )


8 USD * 2 person * 0 days

15 USD * 2 person * 0 days

REGULAR

USD 8

VARIETY

USD 15

Basic Health Food

Basic Food and occassional eating out in Restaraunts

  Daily Commute

USD 0

( 0 Indian Rupee )


3 USD * 2 person * 0 days

  Miscellaneous

USD 3

( 218 Indian Rupee )


5% of all the above expenses. Usually covers - Medicines, unknown expenses, near by sight seeing etc.

Approximate Total Cost For 24 Hour Holter Monitoring in India

USD64

( 4,584 Indian Rupee )

(Includes Cost of Treatment, Visa, Return Airfare, Hotel, Food, Daily Commute, Miscellaneous)


 

Types of  Kidney Transplant

  1. Deceased/Cadaveric donor transplant - We may get a healthy donated kidney from a donor who is dead and has donated the kidney. 
  2. Living donor transplant – the living person may also donate the kidney called a living donor, who may be a family member, friend or even a stranger.
     

Symptoms of Kidney/Renal failure

  • Reduced amount of urine.
  • Swelling of legs, ankles, and feet from retention of fluids caused by the failure of the kidneys to eliminate water waste.
  • Unexplained shortness of breath.
  • Excessive drowsiness or fatigue.
  • Persistent nausea.

 

Common Causes for kidney failure

  • Diabetes –High blood sugar can damage the filters in the kidneys, leading to long-term kidney damage and finally kidney failure. This is called diabetic nephropathy.
  • High blood pressure or hypertension – High blood pressure in the tiny blood vessels to the kidney may also lead to damage and prevent the filtering process from working properly.
  • Renal artery stenosis : Blockages in the arteries that bring blood to the kidneys over time is another cause of end-stage renal disease.
  • Polycystic kidney disease : It is an inherited condition in which several large cysts or hollow spaces get formed within the kidney that makes its normal functioning difficult.
  • Congenital reasons: This occurs before birth and manifests when over 90% of the kidney functioning is compromised.
  • The disease of the immunity such as systemic lupus erythematosus (SLE) in which the immune system of the body fails to recognize the kidney as its own and attacks it thinking it to be a foreign object.
     

Procedure 

Stage 1: Transplant evaluation process

Special blood tests of a donor are needed to find out the type of blood and tissue present. These test results help to match a donor kidney to the recipient.
 

Blood Type Testing

The recipient and donor should have either the same blood type or compatible ones. The list below shows compatible types:

  • If the recipient blood type is A Donor blood type must be A or O
  • If the recipient blood type is B Donor blood type must be B or O
  • If the recipient blood type is O Donor blood type must be O
  • If the recipient blood type is AB Donor blood type can be A, B, AB, or O

The AB blood type is the easiest to match because that individual accepts all other blood types.

Blood type O is the hardest to match. People with blood type O can donate to all types, however, they can only receive kidneys from blood type O donors. For example, if a patient with blood type O received a kidney from a donor with blood type A, the body would recognize the donor kidney as foreign and destroy it.
 

Tissue Typing

The second test, which is a blood test for human leukocyte antigens (HLA), is called tissue typing. Antigens are markers found on many cells of the body that distinguish each individual as unique. These markers are inherited from the parents. Both recipients and any potential donors have tissue typing performed during the evaluation process.

To receive a kidney where the recipient's markers and the donor's markers all are the same is a "perfect match" kidney. Perfect match transplants have the best chance of working for many years. Most perfect match kidney transplants come from siblings.
 

Crossmatch

Individuals may make antibodies each time there is an infection, with pregnancy, have a blood transfusion, or undergo a kidney transplant. If there are antibodies to the donor's kidney, the body may destroy the kidney. For this reason, when a donor's kidney is available, a test called a crossmatch is done to ensure the recipient does not have preformed antibodies to the donor.

The crossmatch is done by mixing the recipient's blood with cells from the donor. If the crossmatch is positive, it means that there are antibodies against the donor. The recipient should not receive this particular kidney unless special treatment is done before transplantation to reduce the antibody levels. If the crossmatch is negative, it means the recipient does not have antibodies to the donor and that they are eligible to receive this kidney.
 

Serology

Testing is also done for viruses, such as HIV (human immunodeficiency virus), hepatitis, and CMV (cytomegalovirus).
 

Stage 2: Pre-transplant Period

The recipient undergoes testing to ensure the safety of the operation and the ability to tolerate the anti-rejection medication necessary after transplantation. The type of tests varies by age, gender, cause of renal disease, and other concomitant medical conditions. These may include, but are not limited to:

  • General Health Maintenance: general metabolic laboratory tests, coagulation studies, complete blood count, colonoscopy, pap smear and mammogram (women) and prostate (men).
  • Cardiovascular Evaluation: electrocardiogram, stress test, echocardiogram, cardiac catheterization.
  • Pulmonary Evaluation: chest x-ray, spirometry.

 

Stage 3: Surgery 

  • The transplant surgery is performed under general anesthesia. The operation usually takes 2-4 hours. 
  • This type of operation is a heterotopic transplant meaning the kidney is placed in a different location than the existing kidneys. (Liver and heart transplants are orthotopic transplants, in which the diseased organ is removed and the transplanted organ is placed in the same location).
  • The original kidneys are not usually removed unless they are causing severe problems such as uncontrollable high blood pressure, frequent kidney infections, or are greatly enlarged. 
  • The artery that carries blood to the kidney and the vein that carries blood away is surgically connected to the artery and vein already existing in the pelvis of the recipient. 
  • The ureter, or tube, that carries urine from the kidney is connected to the bladder. 
  • Recovery in the hospital is usually 3-7 days.
     

Stage 4: Post Transplant Period

  • The post-transplant period requires close monitoring of the kidney function, early signs of rejection, adjustments of the various medications.
  • Rejection is an expected side effect of transplantation and up to 30% of people who receive a kidney transplant will experience some degree of rejection. Most rejections occur within six months after transplantation but can occur at any time, even years later. Therefore Anti-Rejection medications known as immunosuppressants are prescribed.

Frequently Asked Questions about Kidney Transplant
 

Q. What if the kidney transplant didn't work, would it lead to death?

No, if the transplant doesn't work, one can start /resume dialysis or pursue another transplant.
 

Q. How long does a transplanted kidney generally last?

Kidney transplants have a success rate of more than 95 percent. Living donor transplants last for an average of 15-20 years and deceased donor transplants last for 10-15 years.
 

Q. What are the disadvantages of living kidney donation?

The donor also has to undergo surgery for removal of a healthy kidney, therefore the donor may need some recovery time before resuming day to day activities.


Q. Who Cannot Get A Kidney Transplant?

If the patient is otherwise healthy, age is not a factor in determining transplant eligibility. However, there can be some factors that may prevent patients from getting a kidney transplant.

  • The current life expectancy of less than 5 years

  • Uncorrectable heart disease

  • Untreatable psychiatric illness

  • Active substance abuse (alcohol or drugs)

  • Recent cancer (other than most skin cancers)

 

Q. What are the drawbacks of taking immunosuppressants before the kidney transplant?

Immunosuppressants suppress the immune system in the body and may lead to 

  • Bone thinning (osteoporosis) and bone damage (osteonecrosis)

  • Diabetes, High blood pressure

  • Oedema and weight gain

  • Liver or kidney damage

 



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