Kidney Transplant In India

Kidney Transplant In Bangladesh

What is Nephrology?

Nephrology is the subspecialty of internal medicine that focuses on the diagnosis and treatment of diseases of the kidney. Because the kidney performs so many critical functions, nephrologists maintain expertise in primary kidney disorders, but also the management of the systemic consequences of kidney dysfunction. Although the prevention and identification and management of early kidney disease is a large part of general internal medicine practice, nephrologists are usually called upon to assist and manage more complex or advanced nephrology disorders.

What is a Nephrologist?

A Nephrologist is a kidney specialist. They can perform diagnostic tests and treat conditions related to the kidneys.

Nephrology is a subspecialty of internal medicine. To become a nephrologist, a person should:

  • complete an undergraduate and medical degree
  • complete a 3-year residency in basic internal medicine training
  • complete a 2 or 3-year fellowship focusing on nephrology
  • pass a board certification exam (optional)

Nephrologists often work in individual or group practices caring for people referred from family doctors or specialists. Many nephrologists also consult on cases in hospitals and oversee dialysis units, usually in a clinic or a hospital.

What is Kidney Transplant?

A kidney transplant is a surgical procedure to place a healthy kidney from a living or deceased donor into a person whose kidneys no longer function properly.

The kidneys are two bean-shaped organs located on each side of the spine just below the rib cage. Each is about the size of a fist. Their main function is to filter and remove waste, minerals, and fluid from the blood by producing urine.

When your kidneys lose this filtering ability, harmful levels of fluid and waste accumulate in your body, which can raise your blood pressure and result in kidney failure (end-stage kidney disease). The end-stage renal disease occurs when the kidneys have lost about 90% of their ability to function normally.

Common causes of end-stage kidney disease include:

  • Diabetes
  • Chronic, uncontrolled high blood pressure
  • Chronic glomerulonephritis — an inflammation and eventual scarring of the tiny filters within your kidneys (glomeruli)
  • Polycystic kidney disease

People with end-stage renal disease need to have waste removed from their bloodstream via a machine (dialysis) or a kidney transplant to stay alive.

Types Of Kidney Transplant?

  • Deceased-donor kidney transplant
  • Living-donor kidney transplant
  • Preemptive kidney transplant

Why it's done?

A kidney transplant is often the treatment of choice for kidney failure, compared with a lifetime on dialysis. A kidney transplant can treat chronic kidney disease or end-stage renal disease to help you feel better and live longer.

Compared with dialysis, kidney transplant is associated with:

  • Better quality of life
  • Lower risk of death
  • Fewer dietary restrictions
  • Lower treatment cost

Some people may also benefit from receiving a kidney transplant before needing to go on dialysis, a procedure known as a preemptive kidney transplant.

But for certain people with kidney failure, a kidney transplant may be riskier than dialysis. Conditions that may prevent you from being eligible for a kidney transplant to include:

  • Advanced age
  • Severe heart disease
  • Active or recently treated cancer
  • Dementia or poorly controlled mental illness
  • Alcohol or drug abuse
  • Any other factor that could affect the ability to safely undergo the procedure and take the medications needed after a transplant to prevent organ rejection

Only one donated kidney is needed to replace two failed kidneys, making living-donor kidney transplantation an option.

If a compatible living donor isn’t available, your name may be placed on a kidney transplant waiting list to receive a kidney from a deceased donor.

How long you have to wait for a deceased donor organ depends on the degree of matching or compatibility between you and the donor, time on dialysis and on the transplant waitlist, and expected survival post-transplant. Some people get a match within several months, and others may wait several years.

Risks In Kidney Transplant

Complications of the procedure

Kidney transplant surgery carries a risk of significant complications, including:

  • Blood clots and bleeding
  • Leaking from or blockage of the tube (ureter) that links the kidney to the bladder
  • Infection
  • Failure or rejection of the donated kidney
  • An infection or cancer that can be transmitted with the donated kidney
  • Death, heart attack and stroke
Anti-rejection medication side effects

After a kidney transplant, you’ll take medications to help prevent your body from rejecting the donor’s kidney. These medications can cause a variety of side effects, including:

  • Bone thinning (osteoporosis) and bone damage (osteonecrosis)
  • Diabetes
  • Excessive hair growth or hair loss
  • High blood pressure
  • High cholesterol

Other side effects may include:

  • Increased risk of cancer, particularly skin cancer and lymphoma
  • Infection
  • Puffiness (edema)
  • Weight gain
  • Acne

How do you prepare for Kidney Transplant?

Choosing a transplant center

If your doctor recommends a kidney transplant, you’ll be referred to a transplant center. You’re also free to select a transplant center on your own or choose a center from your insurance company’s list of preferred providers.

When you consider transplant centers, you may want to:

  • Learn about the number and type of transplants the center performs each year
  • Ask about the transplant center’s kidney transplant survival rates
  • Compare transplant center statistics through the database maintained by the Scientific Registry of Transplant Recipients
  • Find out if the center offers different donation programs that might increase your chances of receiving a living-donor kidney

You may also consider:

  • Costs that will be incurred before, during and after your transplant. Costs will include tests, organ procurement, surgery, hospital stays, and transportation to and from the center for the procedure and follow-up appointments.
  • Other services provided by the transplant center, such as support groups, travel arrangements, local housing for your recovery period and referrals to other resources.
  • The center’s commitment to keeping up with the latest transplant technology and techniques, which indicates that the program is growing.

Evaluation Process of Kidney Transplant

After you’ve selected a transplant center, you’ll be evaluated to determine whether you meet the center’s eligibility requirements for a kidney transplant.

The team at the transplant center will assess whether you:

  • Are healthy enough to have surgery and tolerate lifelong post-transplant medications
  • Have any medical conditions that would interfere with transplant success
  • Are willing and able to take medications as directed and follow the suggestions of the transplant team

The evaluation process may take several days and includes:

  • A thorough physical exam
  • Imaging studies, such as X-ray, MRI or CT scans
  • Blood tests
  • Psychological evaluation
  • Any other necessary testing as determined by your doctor

After your evaluation, your transplant team will discuss the results with you and tell you whether you’ve been accepted as a kidney transplant candidate. Each transplant center has its own eligibility criteria. If you aren’t accepted at one transplant center, you may apply to others.

What you can expect from kidney transplant?

A kidney donor can be living or deceased, related or unrelated to you. Your transplant team will consider several factors when evaluating whether a donor kidney will be a good match for you.

Tests to determine whether a donated kidney may be suitable for you include:

  • Blood typing. It’s preferable to get a kidney from a donor whose blood type matches or is compatible with your own. Blood-type incompatible transplants are also possible but require additional medical treatment before and after transplant to reduce the risk of organ rejection. These are known as ABO-incompatible kidney transplants.
  • Tissue typing. If your blood type is compatible, the next step is a tissue typing test called human leukocyte antigen (HLA) typing. This test compares genetic markers that increase the likelihood the transplanted kidney will last a long time. A good match means it’s less likely that your body will reject the organ.
  • Crossmatch. The third and final matching test involves mixing a small sample of your blood with the donor’s blood in the lab. The test determines whether antibodies in your blood will react against specific antigens in the donor’s blood. A negative crossmatch means they are compatible and your body isn’t as likely to reject the donor’s kidney. Positive crossmatch kidney transplants also are possible but require additional medical treatment before and after the transplant to reduce the risk of your antibodies reacting to the donor organ.

Additional factors your transplant team may consider in finding the most appropriate donor kidney for you include matching age, kidney size, and infection exposure.

What is the cost of Kidney Transplant in Bangladesh?

Kidney Transplant Cost In Bangladesh ranges from $15000 to $20000.  It may vary to some extent depending on the complexity of the treatment. Kidney Transplant In Bangladesh costs far less in comparison to other developed countries. If you talk about the US, then Heart Transplant Cost in Bangladesh is about one-tenth of the total expenses carried out in the US. The cost of a heart transplant determined in Bangladesh is inclusive of all your medical tourism costs. It includes:

  • Diagnosis and Examination.
  • Rehabilitation.
  • Visa and Travelling Cost.
  • Food and Accommodation.
  • Miscellaneous Expenses.

Top 10 Kidney Specialists or Nephrologists:

  • Dr. Sandeep Guleria

Education: MBBS, MS, DNB, FRCS, FRCS

Specialty: Senior Transplant Surgeon

Experience: 15 Years

Hospital: Indraprastha Apollo Hospital

About: Dr. Sandeep Guleria was recently Professor of Surgery at the All India Institute of Medical Sciences(AIIMS).

Prof. Guleria has numerous firsts to his credit. He led the team that did the first cadaveric renal transplant in India from a brain dead donor.

He also led the team that did the first two successful kidney-pancreas transplants in India. He was actively involved in the modifications of the Human Organ Transplant Act through the Rajiv Gandhi Foundation. Also Handling Patients from Bangladesh

  • Dr. Rajesh Ahlawat

Education: MBBS, MS – General Surgery, MNAMS – General Surgery, MCh – Urology

Specialty: General Surgeon, Urologist

Experience: 44  Years

Hospital: Medanta – The Medicity

About: Dr. Ahlawat has worked in leading Institutions of North India and has established successful Minimally Invasive Urology programs including Robotic Surgery and Kidney Transplant services with excellent outcomes comparable to best in the world.

Dr. Ahlawat has initiated and established four successful Urology and Renal Transplant programs in India & Bangladesh at Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Indraprastha Apollo Hospital, New Delhi, Fortis Hospitals, New Delhi, and Medanta, the Medicity, Gurgaon. He has spearheaded the busiest Minimally Invasive Urology services in India at of his workplaces. Also Handling Patients from Bangladesh

  • Dr. Joseph Thachil

Education: MD Urology, Diploma in Urology

Specialty: Urologist

Experience: 45 Years

Hospital: Apollo Hospital 

About: Dr. Joseph Thachil is a Urologist in Greams Road, Chennai and has experience of 45 years in this field. Dr. Joseph Thachil practices at Apollo Hospital in Greams Road, Chennai. He completed MD – Urology from the University of Zurich in 1968, FRCS from the University of Toronto in 1983 and Diploma in Urology from the American Board of Urology in 1982. Also Handling Patients from Bangladesh

  • Dr. Bijoy Abraham

Education: MBBS, MS, DNB, MCh, DNB, FRCS

Specialty: CONSULTANT, UROLOGY AND TRANSPLANT SURGERY

Experience: 30 Years

Hospital: Kokilaben Hospital

About: Dr. Bejoy Abraham is an accomplished Urologist, practicing successfully for over 30 years. he carries out Renal Transplantation, Uro Oncology treatment, and Robotic Surgery. He also performs Arthroplasties, Cystoplasty, MACE, Epispadias, Exstrophy Repair, Implants, TVT, Female Urology, Neurovesical Dysfunction, BOARI FLAP, Cystectomy, RPLND, Pyeloplasty, Endourology & Stone, Radical Nephrectomy with IVC thrombectomy and Laparoscopic donor Nephrology. He has special acumen in managing Kidney Stones, Bladder Cancer, Reconstructive Urology, Erectile Dysfunction, and Paediatric Urology. Also Handling Patients from Bangladesh

  • Dr. S. N Wadhwa

Education: MBBS, MS – General Surgery, MCh – Urology

Specialty: Urologist

Experience49 Years

Hospital: Sir Ganga Ram Hospital

About: Dr. S N Wadhwa is a renowned urologist based in New Delhi with more than four decades of experience. He is currently impaneled as an advisor in the department of urology at Sri Ganga Ram Hospital. After his graduation, he completed his MS in general surgery and MCh in urology and has been in practice ever since and has dealt with even the most complex cases through his long span of a career. Dr. Wadhwa has a special interest in reconstructive surgery and gives his undivided attention to the welfare of his patients. Also Handling Patients from Bangladesh

  • Dr. Arun Halankar

Education: MBBS, MD – General Medicine, Fellowship in Nephrology

Specialty: Nephrologist/Renal Specialist

Experience: 49 Years

Hospital: Shushrusha Citizens Co-Operative Hospital

About: Dr. Arun Halankar is a Nephrologist/Renal Specialist in Dadar West, Mumbai and has experience of 48 years in this field. Dr. Arun Halankar practices at Shushrusha Citizens Co-Operative Hospital in Dadar West, Mumbai. He completed MBBS from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1968, MD – General Medicine from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1972 and Fellowship in Nephrology from Jewish Hospital and Medical Centre of Brooklyn in 1974. Also Handling Patients from Bangladesh

  • Dr. Vijay Kher

Education: DNB – General Medicine, DM – Nephrology, MNAMS – Nephrology

Specialty: Nephrologist/Renal Specialist

Experience: 30 Years

Hospital: Medanta Mediclinic

About: Dr. Vijay Kher is a Nephrologist/Renal Specialist in Defence Colony, Delhi and has an experience of 30 years in this field. Dr. Vijay Kher practices at Medanta Mediclinic in Defence Colony, Delhi. He completed DNB – General Medicine from POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH in 1977, DM – Nephrology from POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH in 1979 and MNAMS – Nephrology from National Board of Examinations Ministry of Health Government of India in 1980. Also Handling Patients from Bangladesh

  • Dr. (Lt. Gen) Prem P Varma

Education: MBBS, DM – Nephrology

Specialty: Nephrologist/Renal Specialist

Experience: 44 Years

Hospital: Venkateshwar Hospital

About: Dr. Prem Prakash Varma is a Nephrologist/Renal Specialist in Dwarka, Delhi and has experience of 44 years in this field. Dr. Prem Prakash Varma practices at Venkateshwar Hospital in Dwarka, Delhi. He completed MBBS from Chhatrapati Shahu Ji Maharaj University, Kanpur in 1975, MD – Nephrology from Armed Forces Medical College (AFMC), Pune in 1986 and DM – Nephrology from POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH in 1993. Also Handling Patients from Bangladesh

  • Dr. Satish Chandra Chhabra

Education: DM – Nephrology, MBBS, MD – Medicine

Specialty: Nephrologist/Renal Specialist

Experience: 37 Years

Hospital: Venkateshwar Hospital

About: Dr. Satish Chhabra joined as a Sr. Lecturer, Nephrology in Dayanand Medical College and Hospital, Ludhiana in July 1980. He was promoted to Prof. of Nephrology in 1991. Eleven years he was involved in active teaching and clinical work in medical college. In 1992, he resigned from Dayanand Medical College and came to Delhi. He started the first Dialysis unit of East Delhi in 1993 and was involved n spreading the science of Nephrology in East Delhi along with East Delhi Indian Medical Association (EDIMA) and East Delhi Physician Association (EDPA). He was instrumental in establishing the first units of dialysis in this Region. In 2005 he joined Max Patparganj and established the Nephrology Department and started Transplant services in 2010. Currently, he is heading both Max Hospital (Patparganj & Vaishali) units actively and is involved in total Renal Care. Also Handling Patients from Bangladesh

  • Dr. C M Thiagarajan

Education: MBBS, MD – General Medicine, MNAMS – Nephrology

Specialty: Nephrologist/Renal Specialist

Experience: 38 Years

Hospital: Fortis Malar Hospital, Chennai

About: Dr. C. M. Thiagarajan is a Nephrologist/Renal Specialist and has an experience of 38 years in this field. He completed MBBS from Kilpauk Medical College, Chennai in 1967, MD – General Medicine from Madras Medical College, Chennai in 1974 and MNAMS – Nephrology from Madras Medical College, Chennai in 1982.

He is a member of the Indian Medical Association (IMA). Some of the services provided by the doctor are Sigmoidoscopy, Kidney Failure Treatment, Percutaneous Nephrolithotomy, Ureteroscopy (URS) and Hemodialysis, etc. Also Handling Patients from Bangladesh.

Reference: Wikipedia

Share on facebook
Share on twitter
Share on linkedin
Share on whatsapp

Leave a reply

Your email address will not be published. Required fields are marked *