Becoming a kidney donor may slightly predispose you to some health problems that could lead to the need for a kidney transplant later in life. After all, one kidney does the work that two normally do. If that happened, you wouldn't automatically go to the top of the list of donated kidneys. People can lead a normal life with only one kidney.
As long as the donor is thoroughly evaluated and authorized for donation, they will be able to lead a normal life after surgery. When the kidney is removed, the individual normal kidney will increase in size to compensate for the loss of the donor kidney. When most of us think about kidney donation, we think of checking a box on our driver's license in the event of an accident. But you don't have to be deceased to donate a kidney.
Being a living kidney donor is, in fact, more common and safe than you think. In addition, out of respect for the principle of non-maleficence, doctors would refrain or resist removing the recipient's kidney even with their consent, as returning a patient to dialysis may decrease the remaining life years and the expected quality of life (QoL) compared to continuing with a functional kidney transplant. This is an example of conscientious refusal of treatment by the doctor. Even if B agrees, it is possible that a doctor will refuse to perform medical acts that have a serious negative impact on B's health, for reasons of conscience.
In this case, the negative health effects of B include the risks associated with removing the kidney and returning to dialysis. In general, the prognosis is worse with dialysis compared to kidney transplant. The danger of complications also increases. In addition, QoL is also likely to decrease, given the symptoms, time, and medical costs associated with dialysis.
Therefore, the doctor could conscientiously refuse to perform treatments in B that have such negative effects. Usually, live kidney transplants are also surgeries that have a risk of negative effects on the donor, such as exacerbation of hypertension. Having a single kidney can have a negative impact on donor A's health. While there may be positive psychological and social effects on the donor in both cases, the difference between removing a kidney from one donor who has another and removing the only kidney is substantial.
Therefore, while a doctor may conscientiously refuse to participate in organ restitution, conscientious refusal is not specific to organ restitution. If you have two healthy kidneys, you may be able to donate one of your kidneys to a person with kidney failure. If you have kidney failure, having a kidney transplant may mean a longer, healthier life without dialysis. Learn more about kidney donation and transplant.
Living kidney donation is the most common type of living donor transplant. People can donate one of their two kidneys. The remaining kidney can perform the necessary functions. Consequently, it is difficult to assume that a living kidney donor who develops ESRD can receive a kidney transplant quickly.
If you have two healthy kidneys, you may be able to donate one of your kidneys to improve or save someone else's life. If you are healthy, donating a kidney will not increase your chances of getting sick or having major health problems. In addition, during the evaluation, the team will check that the organ you are donating is healthy and that removing one of the kidneys or part of the liver is unlikely to cause health problems in the future. You should also meet with a psychologist and an independent living donor advocate to make sure you are mentally and emotionally ready to donate one of your kidneys.
However, transplants from living donors are more successful compared to kidneys from deceased donors because these kidneys come from living donors. The transplant staff will discuss with you and your family the benefits and risks of donating a kidney or part of your liver and answer your questions. If it is known that the considered kidney removal causes donor kidney failure, doctors could not ethically participate in this action. Five years after surgery, when I was 23 years old and preparing for medical school, I started working in a research laboratory looking for kidney donors who had developed kidney failure.
Another solution Wainright identifies is to ensure the use of the current OPTN policy, which requires transplant programs to inform living donors about their priority on kidney waiting lists if they need a transplant after donation. In condition III, in which A and B are bound by a kidney donation contract, based on B's kidney property rights, organ restitution is inadmissible if B's intention is not to return the organ, even if A requests it. Some studies suggest that living kidney donors may have a slightly higher risk of kidney failure in the future. AKF works on behalf of the 37 million Americans living with kidney disease, and the millions most at risk, to support people wherever they are in their fight against kidney disease, from prevention to life after transplant.