Follow-up of after transplant

Information at discharge

  • Advise on wound care
  • Have a shower after removing the dressing using soap  and shampoo as before surgery
  • Medication for pain relief may be prescribed
  • A phone number will be given to contact in emergencies

Follow up after donor surgery

To ensure continued well-being, the donor should attend mandatory follow-up as per the following schedule: a week after surgery, one month later, at six months, at one year and thereafter annually for life. The Transplantation of Human Organs Act 1994 and the Rules framed thereunder specifies that it is the duty of the recipient to bring the kidney donor for mandatory follow-up as advised.

When can one resume normal activities after donor surgery?

  • Exercises should be resumed gradually, starting with short walks and increasing the distance each day. Walks can be started soon after discharge. This will help prevent blood clots, chest infections and muscle wasting
  • Lifting heavy weights should be avoided for three months after surgery. 

When to call the hospital after discharge?

  • Increased pain over wound area
  • Discharge from wound
  • Fever
  • Discomfort or burning during urination
  • Increased frequency of urination
  • Passing cloudy urine or urine with an unusual smell

Follow up of the recipient after transplant

The recipient needs to come for follow up as per the following schedule: twice a week for 4 weeks, once a week for three months, once a fortnight for 6 months and once a month up to 2 years. Thereafter, once in 6 months for life. These may be modified based on the patient needs by a nephrologist/ transplant surgeon

At follow up of both recipient and donor, tests will be done to ensure that the general health is good and renal parameters are within acceptable limits. Blood tests, ultrasound abdomen and KUB region are done. If necessary other tests may be ordered. 

 

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