A person can live a normal, healthy life with only one kidney. However, donating a kidney is a serious decision. Your consideration process should include ample information-gathering and consultations with experts.
The Allegheny Health Network’s Living Donor Kidney Program has an experience team of health care professionals dedicated to working with potential donors during their decision-making and eligibility process. It is important that donors fully understand how donating a kidney will affect them and their families.
Our donors’ questions frequently include the following:
Living donors should be in good overall physical and mental health 18 years and older. Some medical conditions could prevent you from being a living donor, including diabetes, cancer, HIV, hepatitis, or pregnancy. You should not be overweight, although you may still be a potential donor if you lose weight. Because some donor health conditions could harm a transplant recipient, it is important that you share all information about your physical and mental health during the eligibility process.
In a directed donation, the donor names the specific person to receive the kidney. This is the most common type of living donation.
The match is arranged based on medical compatibility with a patient in need. Some non-directed donors choose never to meet their recipient. In other cases, the donor and recipient may meet at some point, if they both agree, and if the transplant center policy permits it.
Paired kidney exchanges have become a way for transplant candidates to receive a kidney, even if their willing living donor is not a good match for donating to them. It involves two pairs of living kidney donors and transplant candidates who do no not have matching blood types. The two candidates “trade” donors so that each candidate receives a kidney from a donor with a compatible blood type. Multiple pairs can even be matched with divided pairs in a chain starting and ending with an altruistic kidney donation.
The Allegheny Health Network Transplant Institute is a member of a multi-paired kidney donation chain, organized by the National Kidney Registry and coordinated locally by the Center for Organ Recovery and Education (CORE).
If you are interested or know someone you would like to help through living donation, contact the Allegheny Health Network’s Living Donor Kidney Program at (412) 359-4441.
Our team will begin a psychosocial and medical evaluation process to both protect you and to help ensure a successful transplant. You will need to answer numerous questions, including your reasons for wanting to donate, complete medical history, whether you have a physical and emotional support team throughout the donation process. Our social worker will also explain the ways that donating can affect your life, including your employment and family obligations, as well as the emotional experience.
You will have a complete medical and psychosocial work up, which typically is completed in three to six weeks. We will verify your blood type and compatibility between you and the transplant candidate prior to your evaluation appointment. The majority of your testing will be completed at your evaluation appointment. For the individuals who reside out of state, we will complete your testing at a facility local to your residence.
After all results from the evaluation process are available, they will be reviewed by our multidisciplinary living donor team, and a decision will be made to determine your candidacy. Our living donor coordinator will contact you with the results.
Our living donor team will discuss all health risks, benefits and alternatives to donation with you. Research has shown that kidney donation does not change life expectancy or increase a person’s risks of developing kidney disease or other health problems.
Research has shown that one kidney is adequate for a person to remain completely healthy. Shortly after recovering from surgery, you can work, drive, exercise and participate in sports, though contact sports are not recommended. Also, being a donor does not impact a person’s ability to have a child.
Your living donor coordinator will advise you about any medications and supplements that you may need to stop taking prior to surgery. Ten days before the donation, you and your recipient will go to the hospital for pre-admission testing. You will also receive at that time pre-surgery instructions, as well as information about your hospital stay and discharge.
You will be admitted to the hospital the morning of the surgery, and both you and your recipient go to the Ambulatory Care Unit. Our staff will insert an intravenous (IV) line, and you will meet with your surgeon who will answer any additional questions you may have.
Four small incisions are made in your abdomen to insert laparoscopic instruments. The laparoscope contains a miniature camera that helps guide the surgeon through surgery. Once the kidney dissection is complete, a 3- to 4-inch incision is made for the removal of the kidney. These incisions are closed using stitches that absorb on their own and do not need to be removed after surgery.