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What is autotransplant?

Autotransplant is a procedure in which a damaged kidney is removed from the body, repaired and transplanted into another location of the body. The procedure is called autotransplantation as your own kidney is used to treat the diseased kidney. Since this is a part of your own body, there is no risk of rejection of the transplant.

The surgery is performed as a treatment for kidney cancer, when the tumor cannot be accessed by traditional techniques and when cancer develops in patients with a single kidney. It is also indicated to treat diseases of the blood vessels supplying the kidneys, complex reconstructions and loin pain hematuria syndrome (recurrent loin pain and blood in the urine).

How is the procedure performed?

The autotransplant procedure is performed under general anesthesia. Your doctor makes an incision just below your chest region. Your diseased kidney is removed from your body and placed on a specially-equipped work table. It is then washed with a preservative in order to cool  it, flush out all the blood to prevent clotting and slow down its metabolic rate so that it continues to work (for at least 24 hours) even outside your body.

Outside the body, your doctor repairs the damaged kidney. Your doctor makes another incision on the midline or lower region of your abdomen to access the iliac fossa (part of the hip bone). Once the kidney is repaired, it is placed back into the body at the region of the iliac fossa, and blood vessels of the kidney are connected back at its new location. This procedure takes about 6 hours to complete.

What risks and complications are involved?

Like all surgeries, autotransplant may involve potential complications such as:

  • Bleeding
  • Urinary extravasation (collection of urine in other cavities due to interruption of the urethra)
  • Kidney artery stenosis (narrowing)
  • Ureteral stricture (narrowing of ureter)

For further information regarding autotransplant please contact NMC Urocare at http://www.nmcurocare.ae/contact-us/