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Small child has only one kidney from birth, low functioning. Kidney transplant to be done. Prognosis?

My daughter was born with just one kidney which functions at 45% (she is 4 years old now). We have been told that she will need a kidney transplant at some stage in the future. Whilst I understand to a certain extent the procedure, recovery and maintenance associated with a transplant I am absolutely shocked to learn that her lifespan will be cut short if she does have a transplant. I am so confused as I recently heard that a persons lifespan could be cut short by 20-40 years following a transplant- is this correct?
Asked On : Tue, 31 Jul 2012
Answers:  1 Views:  31
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Pediatrician, Surgery 's  Response
Thank you for your query
Firstly it will be helpful to know the details of why this kidney is functioning 45%. I suggest you consult a pediatric surgeon. At times the damage may be due to an ongoing cause and if it can be averted then your child might get away without a transplant. But the pediatric surgeon needs to evaluate further for details. A transplanted kidney has a life of 10-20 years. So when it is done for an older person it works out fine. In children it is done only when we think that the life expectancy without a transplant is lesser than that. So actually it does not curtail one's life. It prolongs it from the already curtailed life due to the disease. But in children 10-20 years is not enough. That is why all this rumors regarding transplant. But we never know. It may last longer. And then we can think of a repeat transplant or alternative measures at that stage too. So if required transplant is life saving and life prolonging.
Hope that helps
God bless you
Answered: Sat, 9 Feb 2013
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