What happens to native kidneys after transplant will they hurt?
The fate of native kidneys after a kidney transplant varies depending on the individual's health and the reason for the transplant. In general, there are a few different scenarios:
1. Native Kidneys Continue to Function: In some cases, the native kidneys may continue to function after the transplant. They may produce some urine, but their function will likely decline over time. This decline can be gradual or rapid, and the rate of decline varies from person to person. The presence of functioning native kidneys can sometimes impact the management of the transplanted kidney, such as medication doses and monitoring.
2. Native Kidneys Are Removed: Before or during the transplant, the native kidneys may be surgically removed. This decision depends on several factors, including the underlying kidney disease, the condition of the native kidneys, and the potential risk of complications. Native kidneys can cause problems or complications due to:
- Persistent infections: Native kidneys with severe damage or chronic infections may serve as a reservoir for bacteria, leading to ongoing infections that can affect the transplanted kidney.
- Hypertension: Diseased native kidneys may contribute to high blood pressure (hypertension), which can stress the transplanted kidney.
- Immune rejection: In some cases, the immune system may perceive the native kidneys as foreign and attack them, leading to immune rejection.
- Kidney stones: Individuals who develop kidney stones in their native kidneys may experience a recurrence in the transplanted kidney.
- Fistulas: Abnormal connections (fistulas) can form between the native kidneys and the transplant, leading to fluid and electrolyte imbalances.
3. Native Kidneys Remain in Place: In certain situations, the native kidneys may be left in place without functioning. This decision is usually made when the kidneys do not pose any significant risks or complications and their removal is deemed unnecessary or too challenging.
It's important to note that the management of native kidneys after a kidney transplant is individualized, and the decision-making process involves the input of the transplant team, including doctors, surgeons, and other healthcare professionals. They will assess the individual's health, weigh the potential risks and benefits, and determine the best course of action to ensure successful transplant outcomes and overall health.