Dr. Mukut Minz’s Urological involvement in Renal Transplantation

Urologists were the primary surgeons in renal transplantation. Specialization and increased complexity of the field of transplantation, coupled with a de-emphasis of vascular surgical training in urology, has created a situation where many renal transplants are carried out by surgeons with a general surgery background. Dr. Mukut Minz is a renowned Urologist and Renal transplant surgeon, based in Mohali with extensive 39+ years of experience.

His expertise lies in Kidney and Pancreas Transplant (live and cadaver), Multiorgan Retrieval Transplant from a cadaver, Dialysis access procedures (AV fistulas/PTFE vascular grafts for hemodialysis), Vascular surgery (including Shunt surgery for portal hypertension), Kidney transplant in the abnormal bladder (ileal conduit/augmentation cystoplasty), Transplant immunosuppression, etc.Dr. Minz has operated more than 3,300 Kidney transplants successfully and established Combined Kidney-Pancreas Transplant Programme for type 1 diabetics with kidney failure in PGI, which is currently a leading pancreas transplant center in North India.

He has completed his MBBS from Sambalpur University, Odisha, followed by MS in General Surgery from PGIMER, Chandigarh. He has received numerous awards such as the OdishaGauravSamman award for his exemplary work in the field of transplantation, Prof RVS Yadav Memorial Oration at XVIIIth Annual Conference of Indian Society of Organ Transplantation, Bangalore, Bhubaneshwar, etc. Under his credit, there are both national and international publications and he is actively invited as a guest speaker in scientific meetings, CME's and worldwide conferences to talk about Renal transplants.

What is the urinary tract?

The kidneys, ureters, and bladder, are the key components of the urinary tract. The urinary tract is your body’s drainage system for removing urine. Urine is a combination of wastes and water. In order for urination to occur normally and without any complications, all body parts in the urinary tract need to work together.

What do urologists do?

A urologist is trained to diagnose and treat problems of the urinary tract. Urologists deal with men and women alike. With women, a urologist deals only with the problems of urinary tract. With men, however, the urologist can diagnose and treat disorders of the penis and testicles also. They also look after male infertility and sexual disorders.

How Do the Kidneys Work?

The kidneys are fist-sized organs that handle the body's fluid and chemical levels. They are found on both sides of the spine behind the liver, stomach, pancreas and bowels. Healthy kidneys clean waste from the blood and make urine. They keep elements in the blood (sodium, potassium and calcium) in balance. Kidneys also make hormones that control blood pressure and red blood cells.

What is Renal Transplant?

Renal transplant is carried out for patients with end-stage renal failure that is when the kidney function is irreversibly reduced to below 15% of normal.

During a renal transplant, the donor’s kidney is placed in a new position, in the right or left lower quadrant of the abdomen. The damaged kidneys of the patient are not removed unless required in certain circumstances. After the transplant, the patient will have to take immunosuppressive drugs life-long.

What is a Kidney Transplant?

A kidney transplant is one of the most common organ transplant surgeries performed today. In this surgery, kidneys that aren't working well are replaced by a kidney from a donor. This surgery is a lifesaving choice for thousands of patients with end-stage kidney disease (kidney renal failure). If anyone suffers from kidney failure and cannot have a transplant, dialysis can sustain his/her life. Dialysis cleans the blood by removing waste products such as urea.

Treatment (Kidney failure)

Dialysis

The most common treatment for end-stage kidney disease is dialysis. Dialysis removes waste, extra water and chemicals (like potassium, sodium, calcium and acid) from the body. The 2 types of dialysis are hemodialysis and peritoneal dialysis.

In hemodialysis, your bloodstream is joined to a kidney machine outside the body. Hemodialysis is most often done 3 times per week and each session takes about 4 hours.

Peritoneal dialysis is done through a tube in the belly. Dialysis will not cure kidney failure. But dialysis can replace the work of the kidneys, and help you feel better and live longer.