Eighty thousand patients are waiting for organs in our country. Renal transplant patients are the primary. However, the number of donations does not meet the expectations. 7704 people had organ transplantation in 2015. Renal transplants were at the top of the list with 2360 transplants; and liver transplants were the second with 2254 transplants. As six to seven thousand new patients get into the renal waiting list every year, sixty thousand ‘last stage renal failure patients’ receive dialysis treatment. The specialists explained the process of organ transplantation and the chronic kidney diseases that forces patients go through with transplantation process.

You too can save a life
Medicana Bahçelievler Hospital General Surgery Specialist Prof. Dr. Hasan Taşçı who says that the last stage renal failure patients cannot survive unless they are treated explained the organ transplantation process step by step: “The first thing to do at this stage would be applying to a kidney transplantation center. Transplantation coordinator, nephrology specialist, and transplant surgeons inform the patient about the process. The patient goes through a physical examination, anamnesis, lab tests, and heart examination. Nephrology specialist, transplant surgeon, and cardiologist evaluate the results. The transplant is obtained only from a volunteer, a relative who is permitted by our laws, or a person whose brain death has occurred.”

The health of a donor
“If a live donor is in consideration for the kidney transplantation, the donor needs to go through a detailed health examination. The donor’s health should be in a state that will not be affected badly after the transplantation; the donor should be able to continue his or her normal life. Only the people that were determined as healthy are accepted as donors. In the state of not finding a match among relatives, the patient becomes included in the ‘national cadaveric kidney transplantation waiting list’. The center reaches the patient when a match with the right blood and tissue types is found. The transplantation takes place within hours. This is why the patients whose names are in this list must have phone numbers that can be reached for 24 hours.

One out of seven people in Turkey is suffering from kidney disease
Many patients cannot be diagnosed on time, because it advances insidiously. In fact, one out of every ten people in the world and six to seven in Turkey suffer from kidney diseases. So what are the symptoms? How does it advance? What precautions can we take to prevent it? Medicana International Ankara Hospital Nephrology Specialist Yasemin Kıraç explains: “Chronic renal disease or failure, caused by permanent and progressive disruption of all kidney functions, affects one out of every ten people in the world and six to seven in Turkey. The two most common causes of chronic kidney diseases are diabetes and hypertension.”

Does not cause symptoms in the first stage “Kidney diseases usually are asymptomatic in the early stages. Frequent urination, night wake ups, bubbling in the urine, swelling of the lungs, abdomen, and legs, sudden and severe elevation of blood pressure, unexplained fatigue may be seen only in advanced stages. The disease is usually silent and progresses insidiously. For this reason, many patients cannot be diagnosed on time. ”

What are the ways of protection? “We can sort the ways of protection as they follow: Salt restriction should be done. We recommend regular exercise and weight loss. It is important that blood pressure and blood sugar should be under control; smoking, uncontrolled use of herbal products, unconscious use of painkillers and antibiotics should be stopped. For early diagnosis, you should go to a doctor and ask for blood pressure measurement, urine analysis and serum creatinine level.”

Those who have
-Family history with diabetes, hypertension, or kidney disease
And who are at advanced age (over 50)

High success rate, low donation rate 
Even the risk of death for those who travel by car in traffic is more than the risk of surgery. Prof. Dr. Muzaffer Sarıyar from Medicana International Istanbul Hospital says that the rate of success in kidney transplant surgery in Turkey is the same as the success rate in developed countries, although many people are afraid of kidney transplant surgery: “Renal transplantation in Turkey has been taking place since 1970s. The procedure of the recipient’s operation is standardized; open surgical method is applied. In the donor’s operation, use of laparoscopy, which is done with a small incision, shortens the length of hospital stay in the postoperative period and it is less painful for the patient. This procedure makes it easier on the donor. In addition, aesthetically, there is much more advantage than open surgery.”

Closed surgery for the donor 
“We use laparoscopy in the donor surgery. Therefore, the success rate in donor surgery is 100 percent. We perform the recipient surgery open. Our success rate is around 98.5 percent, which is same as the success rates in developed countries. Kidney transplant surgery is a surgery with a risk of between 1 percent and 1.5 percent. The risk of death of people traveling by car in traffic is even higher than this.”

They come back to life
“After kidney transplant surgery, good things wait for patients. The ultimate goal after this surgery is to make the patient become a healthy person who takes a few medicines a day, comes to the hospital every few months for routine controls and live a normal social life. There are even people who can play in the national team of their countries after this operation.”