Kidney Transplant


TULASI Hospital‘s Institute of Nephrology is one of the largest centers in the country for all types of kidney transplants, including Across Blood Group transplants. The Center performs live related-kidney transplants as well as deceased donor-kidney transplants for adults and children. Our specialists have performed over 85 successful kidney transplants since the inception of the kidney transplant unit.

Your kidneys remove excess fluid and waste from your blood. When they are unable to perform their filtering function, dangerous levels of fluid and waste accumulate in your body, resulting in what is known as kidney failure for which a kidney transplant is often the best treatment. Common causes of kidney failure include diabetes; chronic, uncontrolled high blood pressure; and inflammation and scarring of the tiny filters within the kidneys (chronic glomerulonephritis).

In a kidney transplant, the diseased kidney of a patient with end-stage renal disease is replaced with a functioning one from a donor. The types of transplant, classified according to the origin of the donor kidney, are deceased-donor transplantation and living-donor transplantation. Only one donated kidney is needed to replace two failed kidneys.

To address today’s deficit of donor organs, the TULASI Hospital of Nephrology has devised a programme for Across Blood Group (ABO) Transplants, where the transplant is performed with a donor-kidney from someone whose blood group is not the same as the patient’s. TULASI Hospital has collaborated with the Tokyo Women’s University, the leaders in this cutting-edge, breakthrough procedure, and has performed several of these transplants on adults and children in the last few years, with a high success rate.

In an ABO kidney transplant, specialists determine the amount of antibodies in the patient’s bloodstream and work to reduce the blood group antibody through desensitisation and immune modulation. This may involve plasma exchange and medication. Once the number of antibodies in the patient’s bloodstream has been reduced, the transplant is performed. The patient’s antibody levels are monitored closely after the kidney transplant surgery for a few weeks.

For patients, this eliminates waiting to find a compatible donor as anyone can donate to any potential kidney transplant recipient, regardless of their blood types.

The TULASI Hospital of Nephrology’s transplant programme is supported by multiple departments: our state-of-art laboratory which provides specialised immunology services, advanced imaging and radiology facilities such as MRI (with and without contrast), CT Scan, PET scan, nuclear imaging facilities, drug estimating lab, and a full-fledged haematology department. This multi-departmental approach to transplants has enabled Tulasi Hospital to achieve results that are comparable to the best institutes in the world.