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It is possible to transplant a human kidney into another person's body through surgery. A Kidney transplant is effective in the length and quality of life of a patient with chronic kidney failure, and if this operation is performed before reaching the critical stage, the percentage of success will be higher and the probability of death will be lower.
The annual prevalence and incidence of chronic kidney failure in 60 million Iranians is about 15 thousand (2.5 per ten thousand) and 3175 people (0.53 per ten thousand), respectively. The first kidney transplant in Iran was performed in 1346 in Shiraz. Iran has the most successful kidney transplant program in the Middle East. Transplant activity in Iran reaches 24 per million people per year.Kidney transplant is the most appropriate and best treatment for advanced kidney failure.
Kidney transplant in many patients increases the sense of independence and better quality of life compared to dialysis patients. These patients do not need dialysis machines to improve their condition. After the kidney transplant, you can return to your normal life and live an active life.

Waiting for a kidney transplant

 Those who win in life are patient, so you should wait and be patient. When you are waiting for receiving a kidney transplant, you can use your time to achieve several goals.
1- Find out why and how long you should wait.
2- Learn how to deal with difficult situations creatively and with pleasure.
3- Strengthen your general health by following the dietary and exercise instructions provided.
4- Be ready to go to the hospital as soon as your new kidney is ready.
5- Continue your life as usual, but wait anyway.

Kidney transplant statistics in Iran

Considering that kidney transplants are done from two groups of brain-dead donors and living people, about two thousand kidney transplants are performed in the country every year.
Last year, 2,142 kidney transplants were performed, 401 of which were received from living donors. The best thing to deal with kidney diseases is the initial identification of patients, because if these people are not identified at the beginning, they will be in more advanced stages that lead to dialysis and finally kidney transplant. 

Transplant recipient conditions

If any of the following conditions exist, the patient will not be a suitable candidate to receive a kidney transplant:
1-Age over 70 years
2- Cancer or any life-threatening disease, such as severe vascular diseases of the heart and brain
3-Active infection
4-Active gastrointestinal ulcer
5-Patient's inability to tolerate surgery and post-operative drug treatment
6-If there is an abnormality in the bladder, it is necessary to correct the abnormality before kidney transplant.
7-After the age of 06-56, the side effects of immunosuppressive drugs increase.

Necessary measures before kidney transplant surgery in Iran

•    The kidneys of the transplant recipient are not removed if possible, but in certain circumstances, it is necessary to remove the kidneys before the transplant surgery, which include:
1- High blood pressure which is difficult to control and is caused by high secretion of renin from the affected kidneys.
2-Active and bilateral kidney infection
3- Primary and bilateral kidney cancer; Primary cancer means that the primary origin of the cancer was in the kidneys and the cancer has not spread to the kidneys from other parts of the body.
4-Infectious kidney stone diseases
5-Polycystic kidneys (congenital kidney disease in which the kidneys do not have enough natural kidney tissue)
6- Kidney disease caused by tuberculosis 
•    Adequate mental-psychological preparation
The patient should share any fear or anxiety he/she feels with the relevant doctor and nurse so that if possible, it can be resolved.
•    Nutrition in transplant patients
The importance of nutrition in kidney transplant recipients is often overlooked because patients and sometimes medical personnel look at transplantation as an escape from the dietary restrictions required during kidney failure and dialysis. Although nutritional recommendations change after transplantation, it still has an important place in the patient's treatment process.
•    Evaluation of patients before receiving a kidney transplant
Increasing blood urea is often associated with basic disorders in protein and energy metabolism, due to change in the taste of the mouth, nausea and sometimes vomiting, depression and loss of appetite, and on the other hand, the removal of amino acids through hemodialysis, the patient is in an unfavorable nutritional situation (especially if he/she does not follow the medical recommendations). It is clear that this inappropriate nutritional status of patients in the initial period after transplantation will increase the possibility of complications.

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