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  • CBC: To find out anemia
  • Urine routine and culture: To check for urine infection, blood in the urine
  • 24 hours urine protein: proteinuria should be less than 200 mg/day
  • Kidney function test and GFR (Filtration rate) measurements: your GFR should be > 80 ml/min.
  • Oral GTT (Glucose Tolerance Test)/HbA1c to rule out diabetes
  • Liver function tests: To rule out liver disease.
  • BT/PT/PTT:To rule out bleeding and coagulation disorders.
  • Ultrasonography of abdomen: To confirm the presence of 2 kidneys and other structural abnormalities.
  • CT angiography or selective renal angiography: To confirm single or multiple blood vessels their anatomical position and size for surgical resection.
  • Isotope renogram: To assess individual kidney function.
  • HIV, Hepatitis B, Hepatitis C, CMV: To prevent transmission of these viral illnesses to recipient and requirement of prophylaxis after transplant in the recipient.
  • Psychological evaluation: You will be evaluated for mental health issues that might complicate recovery after kidney donation. Assess whether the donation decision is free of inducement, coercion, and generous donation understanding all risks involved. It will be confirmed that there is no undue force to donate kidneys.

Once a donor is evaluated, and the recipient is fit and prepared-made medically fit by treating nephrologist, there will be a meeting between recipient, donor, relatives, surgical and medical team. Anesthesia team will again re-examine all documents and explain in detail the plan. The transplant coordinator will help to prepare legal documents to apply for permission as per HOTA to the local,/ state level/, central level authorization committee.

The recipient, donor, and relatives will have to attend committee meetings. All your documents will be reviewed and assessed that there is no commercial interest in transplant and there is no money transaction, sale/buying of kidney between the recipient and donor. Committee will approve/disapprove the surgery and donation. Once the committee has approved, you will be posted for kidney transplant surgery.

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Living on dialysis

Patients whose kidney has failed will need to dialysis for their entire life until they get a kidney transplant. Life expectancy on dialysis may vary depending on the other medical conditions and how well the patients follow their treatment plan. The average life expectancy of a patient on dialysis is 5-10 years; however, many patients have lived quite well on dialysis for 20-30 years. One of the reasons for the short survival is that most patients with kidney failure are relatively older. The benefit of transplants is much better in younger patients, and a living donor kidney transplant is more beneficial than a deceased donor transplant.

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