If a family member donates a kidney to you, would you accept it?
One of the most concerned issues about relative kidney transplantation is “After the donor donates a kidney, there is only one kidney left. Will it affect his/her future life?”.
Regarding this issue, there are three points I would like to explain to you:
First, before confirming as a kidney donor, a series of comprehensive physical examinations, assessments and screenings are required. Only after the examination confirms that the potential kidney donor is healthy, not only has no kidney disease, but also has very good kidney function, and has no potential diseases that may affect kidney function (such as diabetes), can he/she become a kidney donor.
Secondly, the reason why relative kidney transplantation can be widely carried out around the world is because there is a premise, that is, it will not significantly affect the health and life expectancy of the kidney donor. In medical ethics, if a surgery prolongs the life of another person by damaging the life and health of one person, then this surgery itself should not exist.
[Supplementary information] Existing research results generally believe that relative kidney donation will not affect the life expectancy of the kidney donor. However, it should be further explained that if calculated based on survival to the age of 80, kidney donors have a higher risk of end-stage renal disease (uremia) than people who also pass the pre-donation health assessment but do not donate kidneys. The two are 14/10000 and 90/10000 respectively. For the general population, the risk of developing uremia when they live to 80 years old is 326/10000.
Finally, after kidney donation, the donor needs to undergo regular physical examinations, maintain a healthy lifestyle, avoid high-risk activities, and promptly detect possible physical and mental health problems and deal with them in a timely manner, which may further reduce the risk of chronic kidney disease.
In summary, from a medical point of view, relative kidney transplantation has no significant impact on the health and life expectancy of the donor. Through strict preoperative evaluation and regular follow-up physical examinations after surgery, the risk of chronic kidney disease in the donor can be further reduced.
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