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Kidney Transplant Abroad:
A Comprehensive Guide for Kidney Transplant in Iran

We understand that you may currently require a kidney transplant abroad, and time is of the essence. That's why we are committed to providing you with valuable information to ensure a successful and high-quality kidney transplant in Iran. It is crucial to select only those companies that are licensed by the Ministry of Health and Ministry of Tourism, as they meet the necessary standards for this sensitive and important procedure.
While the decision to undergo renal transplantation is deeply personal and complex, this guide serves as a foundation for research, discussion, and hope, reflecting the transformative power of organ donation and the dedicated healthcare professionals supporting renal transplantation abroad.

Kidney

Kidney transplantation surgery abroad

Long waiting lists and high medical costs in some countries have persuaded many patients to travel abroad for renal transplantation. Some countries offer expert nephrologists and have transplant centers with no waiting lists, and offer lower prices.

To travel abroad for kidney transplant surgery, the patient must be accompanied by the living donor. In some countries, the donor must be a blood-relative. In Iran, the donor can be anyone with the same nationality as the recipient.

What is kidney transplantation?

A kidney transplant involves surgically implanting a healthy kidney from a living or deceased donor into a recipient whose own kidneys have lost functionality.This life-giving treatment acts as a replacement for a patient’s failed kidneys, allowing them to effectively filter waste from the blood, balancing the body's fluids, and controlling blood pressure. The main causes of kidney disease and failure are diabetes and high blood pressure.

Other common causes include genetic diseases, autoimmune disorders, urinary tract infections, and drug use. It is important to manage these conditions properly to prevent damage to the kidneys.

Who needs a kidney transplant?

A kidney transplant may be recommended for individuals with end-stage renal disease (ESRD), a condition in which the kidneys have permanently stopped working. This can be caused by various factors such as chronic kidney disease, diabetes, and high blood pressure. A transplant may also be an option for those with acute kidney failure due to injury or infection. Doctors will evaluate each case and determine if a kidney transplant is the best course of treatment.
Kidney transplant recipients must meet specific criteria to ensure they are suitable candidates for the procedure.
There is no specific age limit for receiving a kidney transplant. However, doctors will carefully evaluate each individual case to determine if the benefits of the surgery outweigh potential risks. Older adults may be more susceptible to complications from surgery and may have other health conditions that need to be taken into consideration. Ultimately, the decision will depend on a variety of factors, including overall health and compatibility with a donor. It is best to discuss this option with your doctor to determine if a kidney transplant is the right choice for you.

What are the main causes of kidney failure?

Why choose to have a renal transplant in Iran?

Our kidney transplant center in Iran, have been providing kidney transplant services to both local people and foreigners for many years. Iran kidney center has been performing kidney transplant according to European standards, at an affordable price.


Why you should choose Iran for your kidney transplant surgery?

Delivering high-quality medical services

High-quality medical care is more than just a buzzword; it's a fundamental right that every patient deserves. Consisting of a myriad of components, such as patient safety, effectiveness, timeliness, efficiency, equity, and patient-centeredness, high-quality care is the linchpin of successful healthcare systems.

High-quality medical services are not just about curing diseases; they are about enhancing the overall patient experience, leading to better health outcomes. When patients feel heard, understood, and involved in their care, it fosters a sense of well-being and an environment more conducive to healing.

No waiting time for chronic renal failure

For patients with end-stage renal disease (ESRD), the kidney transplant process often feels like a race against time. However in Iran, advances in medical science and policy improvements have significantly reduced these wait times. In fact, Iran is one of the few countries in the world where there is no waiting list for a deceased donor kidney transplant. This means that patients can receive a transplant much faster, increasing their chances of successful recovery.

Affordable costs

You can get kidney transplantation in Iran with a much more affordable price and high quality comparing with European countries and America.


Highly skilled and experienced medical staff

Iran has a large number of highly trained and experienced doctors, nurses, and technicians who specialize in kidney transplants. They have the necessary expertise and knowledge to provide a successful transplant and ensure post-surgery care is of the highest quality. Iran has become a leading destination for kidney transplants, offering affordable costs with high-quality medical services, no waiting time, and a highly skilled medical staff. By choosing Iran for your kidney transplant, you can trust that you will receive world-class medical treatment and be on your way to a healthier, more fulfilling life. So don't wait any longer, explore the option of a kidney transplant in Iran today and take the first step towards a brighter future. Your health is our priority, and we are here to support you every step of the way. Keep researching, keep asking questions, and never lose hope - because with the right treatment and care, anything is possible.

Types of renal transplants in Iran

There are two main types of renal transplants: living donor kidney transplant and deceased kidney donors. Living donor kidney transplant involves receiving a healthy kidney from a living person, such as a family member or friend. This type of transplant tends to have better results and offers more control over timing compared to cadaveric renal transplantation. On the other hand, deceased donors transplant involves receiving a kidney from a person who has recently passed away and has agreed to donate their organs. This type of transplant may have longer waiting times but can still result in successful outcomes.

The average functioning time of a transplanted kidney in the living donor method is between 12 to 20 years, while in the method of receiving it from a brain death donor, this number is between 8 to 10 years.

For foreigners who are looking to have renal transplantation, it’s important to note that a deceased donor for renal transplantation abroad is not an option. Instead, they will need to find a living donor.

Finding a suitable donor for kidney transplantation: Kidney donation rules in Iran

Choosing a suitable donor is an essential part of the transplant process. The donor must be a close biological match to the recipient to minimize chances of organ rejection. This is determined through blood and tissue testing.

The ideal age range for the recipient is typically considered to be between 35 and 50 years, as individuals within this age group tend to have a better chance of successful outcomes. Similarly, for kidney donation, living kidney donors preferred age range is often between 22 and 30 years, as individuals in this age bracket usually exhibit optimal health and vitality. By carefully considering these age ranges, it is possible to maximize the potential for positive outcomes in transplantation procedures.

To donate a kidney, a person must be healthy, over 20 years old and under 40 years old, and have no history of any heart or kidney disease. He must not have a history of surgery on vital organs such as the heart or kidney or serious diseases such as cancer or diabetes. Also, the person's kidney must be functioning well and the blood test should be normal. The kidney of the donor must be free of any cysts or stones. It is also better if the donor's left kidney is a single artery. And in terms of the body, the person should be thin because obese people cannot donate kidneys.

You must be clear that it is actually illegal in Iran for foreigners to pay an Iranian person to be their living donor, both donor and recipient must have the same nationality. So, if you're planning on getting a living donor in Iran, make sure you both share the same citizenship!

Important Note: Kidney donors can be family, friends, work colleagues and acquaintances. Being genetically related to the donor can be beneficial, but it is not required. Living unrelated donors must come forward freely and without pressure.

Finding a suitable donor for kidney transplantation: Kidney donation rules in Iran

Rules & regulations of kidney transplants for foreigners in Iran: Renal transplant terms

Fortunately, the laws and regulations in Iran are such that allow foreigners to undergo kidney transplantation in Iran. It is necessary that the living donor kidney transplants and the recipient are of the same nationality and both have a passport of the same country. It's important to note that kidney transplants in Iran are exclusively conducted in government and university hospitals. Private hospitals in Iran do not have the authorization to perform kidney transplants.

In order to proceed with the kidney donation, the hospital must obtain an approval letter from the Ministry of Health in Iran. This letter serves as permission for the surgical procedure. The required documents for obtaining this approval include the donor's passport, recipient's passport, and a consent letter. The entire process of obtaining permission from the Ministry of Health in Iran typically takes 7-10 working days.

Eligibility Criteria for Kidney Transplant

Eligibility for a kidney transplant is determined by several critical factors, ensuring that the procedure is both safe and beneficial for the patient. Generally, candidates for a kidney transplant must have end-stage renal disease (ESRD) with a glomerular filtration rate (GFR) below 15 ml/min/1.73 m². This indicates that the kidneys are no longer able to function adequately on their own.

Patients must also be free from active cancer or infections, as these conditions can complicate the transplant process and recovery. Severe cardiovascular or pulmonary diseases are also contraindications, as they can increase the risks associated with surgery and post-operative care. Additionally, individuals with active substance abuse issues or severe mental health disorders may not be considered suitable candidates due to the challenges in managing post-transplant care.

A compatible living donor or a suitable match on the deceased donor waiting list is essential for a successful transplant. Compatibility is determined through blood and tissue testing to minimize the risk of organ rejection. Finally, the ability to comply with a strict post-transplant medication regimen and attend regular follow-up appointments is crucial for the long-term success of the transplant.

Contraindications for Kidney Transplant

Certain conditions and factors can disqualify a patient from receiving a kidney transplant. Active cancer or infections are significant contraindications, as they can severely impact the patient’s ability to recover from the surgery and manage post-transplant care. Severe cardiovascular or pulmonary diseases also pose substantial risks during and after the transplant procedure.

Active substance abuse and severe mental health disorders can hinder a patient’s ability to adhere to the necessary post-transplant medication regimen and follow-up appointments, making them unsuitable candidates for a kidney transplant. Additionally, the presence of antibodies against the donor kidney can lead to immediate rejection of the organ, making transplantation unfeasible.

Previous kidney transplant failure, severe obesity, or malnutrition are also contraindications. These conditions can complicate the surgery and recovery process, reducing the likelihood of a successful outcome. It is essential for patients to be in optimal health and free from these contraindications to ensure the best possible results from a kidney transplant.

A Kidney transplant process in Iran

Pre-renal transplant preparations

Before the renal transplantation program itself, several essential steps must occur to ensure the success and safety of the procedure.

Kidney recipient testing & health assessments

  • Biochemical test
  • Panel reactivity
  • HLA
  • Anti HLA (class I & classII)
  • WBC cross match
  • Heart CT Scan
  • CT Scan for sinusitis
  • CT Scan for lungs
  • Endoscopy
  • Dental OPG & checkup
  • ENT
  • COVID-19 diagnostic test
  • Abdominal Ultrasound

Kidney donors testing & health assessments

  • Biochemical test
  • Abdominal and pelvic CT angiogram
  • Abdominal & renal ultrasound Scan
  • Comprehensive blood panel
  • 24-hour urine collection test
  • Blood pressure check-up
  • COVID-19 diagnostic test

Operation

During a kidney transplant, the donor's kidney is placed into the recipient's body through surgery. The procedure typically takes several hours and involves making an incision in the lower abdomen to access the recipient's damaged kidneys. The new kidney is then connected to blood vessels and the bladder, allowing it to function properly.

Kidney donors typically resumes their normal life within two to three days and is discharged from the hospital. However, the recipient of the kidney requires close monitoring for a period of ten to twelve days in an isolated ward. This phase is crucial as it significantly reduces the risk of graft rejection and ensures proper care for the transplanted kidney. Regular blood tests are conducted during this period to measure factors such as creatine, urea, and protein excretion.

How long does it take to perform a renal transplant in Iran?

The entire kidney transplantation process typically lasts for a period of 3-4 weeks . However, it is important to note that the recipient may require additional time for post-operative care, which could extend the overall duration.

Recovery timeline after renal transplantation in Iran

The recovery timeline after renal transplants in Iran is typically divided into three phases: immediate recovery, short-term recovery, and long-term recovery.

Immediate Recovery: This phase covers the first two weeks after the surgery. During this time, the recipient will be closely monitored by medical professionals to ensure that the new kidney is functioning properly and there are no complications. The patient'**s diet will also be closely monitored, and they may require additional medication to prevent infection or rejection of the new kidney.

Short-term Recovery: This phase covers the first few months after surgery. During this time, the patient will need to attend regular follow-up appointments with their transplant team and take medication as prescribed. They may also experience some side effects from the anti-rejection medication, such as weight gain or hair loss. The medical team will monitor these side effects and make any necessary adjustments to the patient's medication.

Long-term Recovery: This phase covers the rest of the patient's life after surgery. During this time, the patient will continue to take anti-rejection medication and attend regular check-ups with their transplant team. They may also need to make lifestyle changes, such as quitting smoking and maintaining a healthy diet, to ensure the long-term success of their renal transplants.

Best kidney transplant hospitals in Iran according to transplant patients association

Iran kidney center is one of the specialized and sub-specialized hospitals in Tehran. As a national center for the treatment of kidney diseases, this hospital is covered by the Iran University of Medical Sciences and is the first and largest hemodialysis and kidney transplant center in Iran.

Best kidney transplant surgeons and nephrologist in Iran

Success rate of renal transplants in Iran

In Iran, the probability of kidney success is approximately 90% for individuals under 65 years old and 80% for those over 65 years old. This success rate is quite high, making Iran one of the leading countries in successful kidney transplants. Additionally, for renal transplant recipients andoperations typically have a lower risk of complications due to advanced medical technology and highly skilled medical professionals.

Risks and complications of renal transplantation

The entire kidney transplantation process typically lasts for a period of 3-4 weeks . However, it is important to note that the recipient may require additional time for post-operative care, which could extend the overall duration.

Surgical risks

These include bleeding, infection, and complications related to anesthesia. Surgeons meticulously work to reduce these risks, though complete elimination is not guaranteed. Occasionally, further surgeries may be necessary to manage such complications.

Post renal transplants complications

Rejection of the graft, organ failure, and side effects from immunosuppressant drugs are among the potential complications post-transplant patients might face.

Long-term considerations

Over the long term, patients are at risk for chronic transplant rejection and the development of conditions such as high blood pressure and diabetes, which can affect the transplanted organ's function.

Benefits of kidney transplants

Despite the risks, kidney transplants offer manifold benefits that can significantly enhance a dialysis patients quality of life.

Improved quality of life

For many, a successful renal transplant also means an end to frequent dialysis sessions and the strict dietary and fluid restrictions accompanying kidney failure.

Increased life expectancy

Statistically, recipients who undergo kidney transplants have a higher life expectancy compared to those who remain on dialysis. This longevity is a direct result of the improved health and functionality of transplanted kidneys.

Living with a transplanted kidney

After the initial recovery phase, several lifestyle adjustments and a strict medication regimen become crucial for the transplant's long-term success.

Post-transplant care and medication

Strict adherence to an immunosuppressive drug regimen helps prevent organ rejection but also weakens the immune system, making vigilant post-transplant care essential.

Immunosuppressive Medications for Kidney Transplant

Immunosuppressive medications play a vital role in preventing the rejection of a transplanted kidney. These drugs work by suppressing the immune system’s response to the new organ, allowing it to function properly within the recipient’s body. Common immunosuppressive medications include Cyclosporine, Tacrolimus, Mycophenolate mofetil, Azathioprine, and Prednisolone.

While these medications are essential for the success of the transplant, they can also increase the risk of infections and other complications due to the weakened immune system. Patients must adhere to their prescribed medication regimen and attend regular follow-up appointments to monitor for any potential side effects or issues. Proper management of immunosuppressive medications is crucial for the long-term success of the transplanted kidney.

Lifestyle modifications

Kidney transplantation is not a cure but a treatment, which necessitates a lifelong commitment to one’s health. This includes regular exercise, a balanced diet, and abstinence from alcohol and smoking.

Nutrition for Kidney Transplant Patients

Maintaining a healthy diet is crucial for kidney transplant patients to support their overall health and the function of the transplanted kidney. A balanced diet rich in fruits, vegetables, and whole grains is recommended. Patients should avoid high-sodium and high-fat foods, as these can negatively impact kidney function and overall health.

Staying hydrated by drinking plenty of water is essential, but patients should avoid foods high in phosphorus and potassium, which can be harmful to kidney function. Vitamin and mineral supplements may be recommended by the healthcare team to ensure the patient receives all necessary nutrients.

A registered dietitian can help create a personalized meal plan tailored to the patient’s specific needs and health goals. Proper nutrition is a key component of post-transplant care and can significantly impact the long-term success of the kidney transplant.

Exercise for Kidney Transplant Patients

Regular exercise is an important aspect of maintaining overall health and well-being for kidney transplant patients. Starting with gentle exercises such as walking or yoga and gradually increasing the intensity and duration can help build strength and improve cardiovascular health.

Patients should avoid contact sports or activities that may put the transplanted kidney at risk. Incorporating strength training exercises can help build muscle mass, which is beneficial for overall health. It is also important to avoid exercises that may cause dehydration or electrolyte imbalances.

Before starting any new exercise program, patients should consult with their healthcare team to ensure it is safe and appropriate for their specific condition. Regular exercise can help reduce the risk of complications, improve cardiovascular health, and enhance the overall quality of life for kidney transplant patients.

How much does a kidney transplant cost in Iran?

The cost of kidney transplants in Iran varies depending on the medical facility and the specific needs of the patient. However, it is generally more affordable compared to other countries, with an estimated cost of $10,000-$15,000. This includes all medical expenses such as pre-transplant tests, surgery, hospital stay, and post-transplant care for both kidney donors and recipients.

Duration of kidney transplant process in Iran

As kidney transplant surgery is a sensitive operation, in most countries, it takes a long time to get the necessary approvals to perform the operation. However, in Iran, the entire process will take 3-5 weeks.

This is for cases where neither the donor nor the patient are found to have any underlying conditions. In this sense, the process in Iran is much quicker compared to most countries.

What happens after kidney transplant rejection? How can renal transplant rejection be prevented?

  • Increased creatine and blood urea
  • Ague
  • Severe infection
    Decrease in the amount of blood in the urine
    Using suppressive drugs and keeping your body healthy and hydrated will help you avoid transplant rejection.

Living unrelated donor renal transplants

In some cases, a patient may not have a suitable living donor or may choose to receive a kidney from an living unrelated donor. This type of transplant is known as an unrelated donor renal transplant and involves receiving an organ from someone who has donated kidneys but is not biologically related to the recipient.

Factors unrelated kidney donation,such as tissue matching, blood type compatibility, and overall health are still taken into consideration when determining the success rate of an unrelated donor renal transplant. In some cases, immunosuppressant drugs may be required for a longer period after surgery to decrease the risk of rejection. However, with advancements in medical technology and improved post-transplant care, the success rates for these types of transplants have also increased significantly in recent years.

To improve the success rate of organ donations, doctors carefully screen potential donors to ensure they are compatible and healthy enough to donate. Additionally, post-transplant care and adherence to medication regimens can greatly reduce the risk of rejection. In cases where rejection does occur, medical interventions such as increasing immunosuppressant drugs or further treatments may be necessary. Overall, proper care and follow-up are essential in preventing and addressing transplant rejection.

Renal transplant waiting list

Due to the high demand for kidney transplants, there is often a waiting list for patients in need of a transplant. Factors such as blood type and tissue compatibility play a significant role in determining where an individual falls on the waiting list. In some cases, patients may be able to find a living donor or opt for a deceased donor program, which can reduce their wait time.

However, until a suitable organ becomes available, patients must continue with their current treatment for kidney failure. This can include dialysis and adhering to dietary and fluid restrictions. It is essential for patients on the waiting list to maintain their health and regularly update their transplant team about any changes in their condition.

Renal transplant teams report

  • In addition to the surgeons performing the transplant, a specialized team is necessary for the overall success and care of renal transplant patients. This team typically includes:
  • Nephrologists: Physicians specializing in kidney diseases and disorders
  • Transplant coordinators: Nurses or healthcare professionals who work closely with patients throughout the transplant process
  • Social workers: Provide emotional support and assist with financial and social issues
  • Pharmacists: Manage medication regimens and monitor for any potential drug interactions
  • Dietitians: Help patients create a nutritious meal plan that supports their post-transplant health needs

Question & Answer

After a kidney transplant, drugs are used to suppress the body's immune system so that the kidney is not recognized as a foreign body by the body's immune system. Therefore, the body is more vulnerable to any disease. A transplanted kidney can work for a long time, provided that the person observes good hygiene, especially in the first year after the renal transplantation program done. People who have a kidney transplant have a higher quality of life than people who undergo dialysis. However, factors such as diabetes and blood pressure can cause serious problems in the functioning of the transplanted kidney and the kidney will be rejected.

In general, the answer to this question is yes, but some people do not qualify for a kidney transplant and need to undergo dialysis. People with heart disease. People who have cancer and people who are old cannot get a kidney transplant programs

If the kidney received from a person is alive, it can work in good conditions for 12 to 20 years, if the patient does not have underlying diseases such as diabetes or blood pressure and uses drugs that suppress the immune system, he can live for a long time.

It is better if the gender of the donor and the recipient is the same, but you need to know that this defect does not occur in the kidney transplant process, and you may need to do some additional tests.

After a successful kidney transplant, it is important to maintain a healthy lifestyle that includes regular exercise, a balanced diet with limited salt and sugar intake, and avoiding tobacco and excessive alcohol consumption. It is also crucial to attend regular check-ups with your doctor and to take all prescribed medications as directed.