Access Nephrology Kidney Transplant

A Commitment To Private Practice In Renal Medicine

Kidney Transplant

Kidney transplantation is another form of renal replacement treatment.

About 25% of patients presenting to dialysis will be candidates for kidney transplantation.

The surgery and immediate post transplant management occurs at the Royal North Shore Hospital; patients return to my clinics for long term followup.


Kidney transplantation from a live kidney donor

Generally the kidney donor would be a relative or an altruist.

This is the ideal form of kidney transplantation, the kidney is relatively young, very healthy and often well matched.

The kidney operation is planned and run smoothly with minimal cold ischaemia.

Cold ischaemia is that time a kidney is being transported in a near zero environment, generally a frozen slush.

Kidneys that are transported from interstate, often have quite protracted cold ischaemic times, which may adversely effect the function of the kidney transplant down the track.


Kidney transplantation from a cadaver

The kidney is sourced from a brain dead kidney donor who has suffered either a cerebrovascular catastrophe or some form of trauma such as a motor vehicle accident which has rendered the patient brain dead.

Candidates for cadaveric transplantation often have to wait a considerable period of time (in the ACT the average time is 5.5 years), the kidneys are often older and less healthy, and often mismatched.

Nonetheless, just slightly more than 50% of kidney transplantation are from cadaveric donors.


PCP Prophylaxis

PCP (Pneumocystis Carinii Pneumonia) Chest infection in transplant patients.
Background – over the last two or th…

Royal North Shore Hospital Transplant Unit

Renal Transplant Unit
Royal North Shore Hospital
St Leonards NSW 2065
Dear Patient
As you are aw…

To Access Live Kidney Donation

The ideal, is for a patient never to reach dialysis, but be pre-emptively transplanted with a kidney from a relative or an altr…

Live Donor Work Up Check List

The usual tests are:
Tissue Typing and Blood group
Blood group
Stage ..

To access the cadaveric Renal Transplant list

Those Patients Requiring Dialysis without the Availability of a Kidney Donor
A patient may access the cadaveric transpla…

The Advent of Paired Kidney Donation

Given a circumstance where a patient approaching dialysis or on dialysis, has a live kidney donor available, but that kidney donor is unsuitable…

The Success of Kidney Transplantation

Much goes into the work of kidney transplantation to make it successful.
Major factors are a dialysis patient, or pre-d…


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