Dr. Mohan Keshavamurthy is the best Urologist and Andrologist in Bangalore and has over 25+ years of experience. At present, he heads the Urology, Uro-Oncology, Andrology, Transplant and Robotic Surgery as Director at Fortis Hospital, Bannerghatta Road. He has over 3000 laser TURP, 2500 Kidney RIRS and URS surgical procedures to his name. He has performed over 2500 kidney transplants and over 75 pancreas transplants to date.
A pioneer in Laser Urology, Dr. Mohan Keshavamurthy is an expert in the urinary tract and uro-oncological procedures in adults and children. With his vast experience as a kidney transplant surgeon, Dr. Mohan Keshavamurthy has effectively created kidney transplant programs in West Africa, East Africa, and the Middle East.
He has expertise in Laser Urology, redo hypospadias surgery, complex reconstruction of Urinary Tract penile lengthening procedures, implantation of the flexible and inflatable penile prosthesis, and artificial sphincter insertion.
Dr.Mohan Keshavamurthy completed his MBBS from Bangalore Medical College and Research Institute, Bangalore in 1989, MS from Sheth K.M.School of Post Graduate Medicine and Research, Gujarat University in 1993, MCh from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1995, FRCS in 1998, and Fellowship from Halifax Nova Scotia, Canada in 1998.
Dr.Mohan Keshavamurthy has penned articles in medical journals and has been a speaker at scientific meetings across the globe.
Kidneys are two bean-shaped organs just below the ribcage that function as the filter of the body. The waste products and toxins from the blood are extracted and passed out as urine.
Kidney failure refers to a condition where both kidneys stop working. Without proper functioning kidneys, the waste builds up in the body, resulting in sickness.
Patients diagnosed with end-stage kidney disease may be eligible for a kidney transplant where the diseased kidney(s) is replaced by a healthy kidney from a living or dead donor(s).
Dialysis treatment filters the blood mechanically of waste products, toxins, and excess fluids. It is a time-consuming and labor-intensive process and patients have to visit a dialysis center several times a week. Life expectancy for patients on dialysis is less than a decade on an average although there have been exceptions.
Kidney Transplant Eligibility
There are strict criteria in place to decide eligibility for kidney transplant.
Those with severe cardiovascular diseases may not be eligible to receive a kidney transplant.
Those with a history of cancer are not considered to be candidates for a kidney transplant.
Those afflicted with infections for example tuberculosis, are not eligible for a kidney transplant
Those suffering from liver diseases may not receive a kidney transplant
Those violating the conditions of not drinking, smoking or using recreational drugs will not be eligible for a kidney transplant.
Who can donate kidney(s)?
While there are two kidneys in a normal healthy person, it is possible to survive with one kidney. Donor kidneys can be obtained from living persons or deceased individuals provided it’s a match for blood and tissue type.
Generally, donors are family members as the criteria for a medical match increases for donors and recipients from within the same gene pool. This reduces the risk of rejection for the transplanted kidney by the body.
To determine a match, blood tests for blood group and human leukocyte antigen or HLA are conducted. The more the number of HLA antigens match, the better the chances of a successful kidney transplant. In the next step, blood from the donor and the recipient are mixed and checked for antibodies. If there is no antibody reaction, the kidney transplant can proceed.
Kidney Transplant Procedure
Kidney transplant surgery requires general anesthesia to be administered to the patient and is injected through an IV line.
An incision is made in the abdomen and the donor kidney is put in position.
The arteries and veins are removed and readjusted to connect to the new kidney.
The ureter of the donor kidney, which takes the waste product out, is attached to the bladder.
The old kidneys may not be removed if they are not causing infections or problems in blood pressure.
Recovery from a kidney transplant to normal life takes about six months. The hospital stay post-surgery is around a week if there are no complications. However, certain restrictions such as not lifting heavy weights, etc, will apply after a kidney transplant.
Life after Kidney Transplant
As with all transplants, rejection remains the biggest risk for kidney transplants although they are not as common. Immunosuppressants are prescribed to counter any chances of rejection and patients have to stay under regular follow-ups with their doctor. The other potential risk is that of infection in the new kidney. Checking and monitoring for symptoms like swelling, fever, pain, etc needs to be carried out by kidney transplant patients.
As per recent studies, around 82 percent of kidney transplant patients have survived over a decade after the surgery. Kidney transplant has been known to better the life expectancy of those on dialysis by about 5 years.