To date, our longest functioning kidney transplant is from 1981.
Typically, a kidney from a living donor lasts longer than one from a deceased donor. If you are lucky enough to have someone who wants to donate to you, trust that he or she will be treated with great care, concern, and protection. Our first commitment is to the living donor.
Living donors are thoroughly evaluated by a separate medical team to rule out any issues that would prevent them from donating. At Methodist Dallas, we do not accept living donors with hypertension or diabetes. These are the top two causes of kidney failure, and we believe that the donor needs to preserve their kidney function.
The evaluation looks at their general health with close attention to their kidney function. If the recipient has a disease that runs in the family, like hypertension, diabetes, or polycystic kidney disease, an unrelated donor may be the best option.
This arrangement helps when patients have a donor who does not match the recipient’s blood group or has an incompatible match. We are able to put the donor and recipient information into the computerized system, which looks for alternate matches for the recipient and donor. This is also known as a “donor swap.” This has been very helpful to many people around the United States.
Kidneys are responsible for control of fluid and electrolyte balance as well as the chemical balance, which is controlled by excretion through urine. They also produce erythropoietin, which stimulates red blood cell production. They activate vitamin D, helping the body absorb calcium, which contributes to bone strength. Lastly, they produce renin, which helps with blood pressure control.
No, you can begin the evaluation process prior to starting dialysis and can be listed when your creatinine clearance is 20 or less.
We always encourage living donation because the waiting time will be shorter and statistically, living donor kidneys function longer.
No, many living donors are spouses, distant relatives or even friends.
We offer the option of Paired Exchange which means we try to find other incompatible pairs and then “swap” the donor kidneys and recipients to allow several transplants to take place at once. The donor will not need to travel to the recipient center.
Each patient scenario is different. However, in the event you are a Type I diabetic and you meet the criteria, (not overweight or have severe cardiovascular disease) it could be beneficial to receive both organs to prevent further damage from diabetes.
A successful pancreas transplant will not reverse the effects that have already occurred but may prevent any further damage from diabetes.
We have a support group that meets the second Monday of the month at 7:00 p.m. at MDMC. This group is open to patients, families and friends. Recipients of different organ types, both pre and post transplant and even from other transplant centers frequently attend.