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What Is Renal Transplant?

Urinary leakage. Urine can leak at any level of the urinary tract, from the renal pelvis to the urethra. Suspect urinary leakage when a patient with good or improving graftfunction develops a fluid leak from the wound or abdominal pain or perineal swelling, typically within a month of transplantation.
Renal transplantation is the treatment of choice for a minority of patients with end-stage renal disease (ESRD). Most adult patients with ESRD are never referred for evaluation for transplantation, and have a 70% 5-year mortality on dialysis. Marked improvements in early graft survival and long-term graft function have made kidney transplantation a more cost-effective alternative to dialysis. In the United States, over 375,000 kidney transplants have been performed, and in 2012, 191,400 patients were alive and with a functioning transplanted kidney. currently, more than 101,000 patients are waiting for kidney transplants.

Kidneys are recovered from either living donors or deceased (brain-dead or donation after cardiac death) donors. Living-donor donation typically occurs between individuals who share an emotional bond but are not necessarily related. Good Samaritan living donors are altruistic (often anonymous) donors who wish to donate their kidney to individuals whom they do not know.

Living donation is a scheduled event that offers the advantage of optimal preparation of both recipient and donor. Such scheduling allows better logistical control, which helps minimize organ preservation time. 

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