Kidney Transplant Program Transplant Surgery/Hospitalization

Patients are under general anesthesia when the kidney transplant surgery is performed. The surgery usually lasts two to three hours. The native kidneys are usually not removed. The new kidney is placed in the lower abdomen just above and to the side of the bladder on either the right or the left side of the body. The kidney is placed in this area because it is the best site for the connection to both the circulatory system and the bladder, and remains well protected by the abdominal muscles and pelvis. A new opening is made into the bladder for the new ureter. The incision is usually about six to seven inches in length. The new kidney is connected to the blood vessels that go to your leg and a new opening is made into the bladder.

The hospital stay is usually 5-6 days barring any complications. During this time, diet and activity are slowly advanced and the education process begins. There will be daily blood tests to check how well the new kidney is working and to bring the medications up to the appropriate blood levels.

Frequent clinic visits will continue after discharge from the hospital, from a few weeks to months, depending on the function of the kidney. Blood work will be taken prior to each visit. Education will take place so that patients are aware of subtle changes in their health. When a change is noted, they are encouraged to report it to their nephrologist immediately so treatment can start right away. Patients are expected to keep track of their temperature, weight, blood pressure, urine quantity and color, and signs of rejection and infection.

A gradual increase in exercise is encouraged, with more strenuous activities guided by the nephrologist and surgeon. People return to work as soon as six weeks after surgery while others may need to wait a few months.