Kidney Transplant in Singapore

Kidney Transplant in Singapore

The cost of Kidney Transplantation significantly various in Singapore due to its dependency on various factors. The cost of renal transplantation depends upon the type of hospital, its years of experience in Kidney transplantation, cost of organ harvest, cost of medications during pre- and post-operative care, comorbid medical conditions, duration of hospitalization and frequency of hospital visit for a routine check-up. The current total cost of Kidney Transplant in Singapore starts from USD 75000. It also depends upon the age of the patients as patients with a younger age are more likely to recover as compared to the elderly. Kidney transplantation is a complex process and besides surgery, the cost also involves various medical tests for checking the compatibility of recipient and donor. The cost significantly varies between a standard transplant and a costlier ABO-incompatible transplant.

Kidney transplant in Singapore is the best available treatment for patients suffering from end-stage kidney disease. A kidney transplant is preferred over dialysis in Singapore because of the associated benefited. A kidney transplant offers a lot more freedom to patients as they no longer need to make a routine visit to the doctor anymore for dialysis and can eat a variety of foods. There are many hospitals in Singapore that conduct kidney transplants.

Cost Comparison

Kidney transplantation has always an edge over dialysis in terms of improved quality of life and longevity. The patient, after the kidney transplant, gets rid of a regular visit for dialysis and diet restrictions are lifted. Singapore has been emerging as a favorite destination for kidney transplantation. Apart from the sophisticated technology and customized post-operative care, expert surgeons and relaxation in-laws have added fuel to the growth of this surgery in Singapore. From the first kidney transplantation, way back in 1970, the country has gained expertise and access to the world’s advanced scientific knowledge, particularly in this arena of medical surgery. Singapore has the pride to be the first in transplanting a kidney from the incompatible blood group donor. Singapore is also one of the priority places when it comes to unrelated donor renal transplantation. Various super-specialty hospitals are performing a kidney transplant in Singapore.

Treatment and Cost

30

Total Days
In Country

2 No. Travelers

15 Day in Hospital

15 Days Outside Hospital

Treatment cost starts from

USD 40000

Hospitals

About the Kidney Transplant

 

There are many options when it comes to the treatment of a kidney that fails to maintain normal function in the body. Kidney transplant surgery is one of the most successful ways to restore normal functioning of the affected kidneys as it allows for an access to greater freedom and a better quality of life.

A kidney transplant patient is more likely to enjoy bouts of energy and follow the less strict diet as compared to patients who choose an alternative treatment.

The kidney performs several important functions in the human body. Even slight damage to the kidneys can, therefore, cause a lot of problems. When the kidney is rendered incapable of its main function, that is, removal of waste products from the blood, a condition called uremia develops.

Unfortunately, the symptoms of this condition do not develop unless 90 percent of the kidney is damaged. This is the time when an individual would require a kidney transplantation surgery or dialysis to restore the normal functioning.

There are several other kidney diseases that warrant the need for a kidney transplantation. Some of these conditions include the following:

    • Deep-rooted problem in the anatomy of the urinary tract
    • Extremely high blood pressure
    • Glomerulonephritis
    • Polycystic kidney disease
    • Diabetes mellitus

 

Symptoms of Kidney Dysfunction

Some of the common symptoms observed in the case of kidney diseases include the following:

  • Shortness of breath and general fatigue
  • Retention of fluid causing swelling (edema)
  • Foamy and dark orange,  brown, red or tea-colored urine
  • Increased frequency of urination
  • Back pain
  • Restless legs and inability to sleep due to leg cramps
  • Metallic taste
  • Breathing problems due to urea build up in blood
  • Loss of appetite
  • Numbness in the toes or fingertips and tingling sensation
  • Problem concentrating

How is Kidney Transplant performed?

The kidney transplant surgery is performed under the influence of general anesthesia. The operation can range from two to four hours. Since the kidney is placed in a different location than where it naturally exists, this kind of procedure is called a heterotypic transplant.

Kidney Transplant vs Other Organ Transplants

This is unlike liver and heart transplant surgeries during which the organ is placed in the same location after removing the diseased organ. Thus, in the case of a kidney transplant, diseased kidneys are left in its original position.

During the kidney transplant procedure, an intravenous line is initiated in the hand or arm and catheters are connected to the wrist and neck to check the blood pressure, heart status and take samples of blood. Groin or region below the collarbone can also be used for insertion of catheters.

The hair is shaved off or cleared in the region of the surgical site and a urinary catheter is inserted into the bladder. The patient is positioned on the operating table lying on their back. After the administration of general anesthesia, a tube is positioned into the lungs through the mouth. This tube is attached to a ventilator so that the patient can breathe during the surgery.

Anesthesia and Kidney Donor

The anesthesiologist closely monitors the blood oxygen level, breathing, heart rate and blood pressure. The site of the incision is cleaned with an antiseptic solution. A long incision is made by the doctor on one side of the lower abdomen. The donor's kidney is visually inspected before implantation.

Now the donor's kidney is placed in the abdomen. Usually, the left donor kidney is implanted on the right side and vice versa. This leaves scope to connect ureters with the bladder. To the external iliac artery and vein, the renal artery and vein of the donor's kidney are sewn.

The donor ureter is then connected to the urinary bladder of the patient. With surgical staples and stitches, the incision is closed and a drain is positioned at the incision site to prevent swelling. Lastly, a sterile bandage or dressing is placed.

Recovery from Kidney Transplant

After the surgery, close monitoring of the functioning of transplanted kidney and signs of adjustment, rejection, infection, and immunosuppression is done. Almost 30 percent of the cases experience a few side effects related to organ rejection and it usually happens within a period of 6 months. In some cases, it can even happen years later. Quick treatment can negate and fight rejection in such cases.

Recovery post Kidney Transplant Procedure

Immunosuppressive agents that fight rejection prevent this from happening. These medications have advised to the transplant patients for their lifetime. The kidney transplant success rate is challenged if these medications are stopped. A combination of drugs is usually recommended

It takes around two to three days for the recipient to be discharged from the hospital after the surgery. The patient is encouraged to take small steps and start walking and moving a bit. Kidney transplant recovery period lasts for around two to three weeks of the surgery, after which the patient may return back to normal life.

 

Pros and Cons of Kidney transplant

 

Pros

    • It improves life and is better than most other alternatives
    • Little restriction on diet
    • Mostly covered by insurance

 

Cons

  • Rejection of the transplanted kidney
  • Medications have to be followed religiously
  • Medications may have side effects

Patient Stories

Frequently Asked Questions

Why should you go for Kidney Transplantation in Singapore ?

Singapore, a global hub for healthcare, is also one of the fastest emerging destinations for medical tourism; thanks to affordable medical costs as compared to many developing and developed nations. The country, in recent times, has relaxed its laws for kidney transplantation which bypasses the tedious and lengthy process, seen in some other countries. Highly sophisticated technology, huge infrastructure, most modern facilities, and excellent post-operative care makes it one of the best places for renal transplantation. ABO incompatible renal transplant is done in Singapore with an exceptional success rate. Various hospitals have performed renal surgeries which are first-in-their-class such as combined liver and kidney transplant, simultaneous pancreas and kidney transplant, and living paired exchange kidney transplant. The surgeons are experienced and have an advanced degree in renal transplantation. The increased survival rate of patients with renal transplant has boosted the confidence in other patients, who are keen to make their way to Singapore for better treatment.

What is the average cost of Kidney Transplantation in Singapore ?

Cost of Kidney transplantation in Singapore is affordable as compared various other countries. The average cost of renal transplantation in Singapore is USD 75000- USD100000, however, the cost depends on various factors such as:

•    Type of hospital

•    Surgeons expertise and experience

•    Testing charges

•    Organ harvest cost

•    Surgery charges

•    Cost of medications

•    Duration of hospital stay

•    The frequency of follow-up visit

•    Doctor’s consultation charges

•    Standard or ABO incompatible surgery

•    Rate of recovery

Cost of the renal transplantation in Singapore is competitive when taken into account its modern healthcare system, sophisticated machinery including robotic system, expert and renowned surgeons, and proper care before and after surgery.

Which are the top hospitals and top surgeons in Singapore for Kidney Transplant

Various hospitals in Singapore are providing renal transplantation services. Almost all the hospitals are equipped with the latest facilities and highly qualified staff comprising surgeons, anesthesiologist, physicians, intensivists and supporting healthcare professionals. Some of the hospitals are the pioneer in advanced renal transplantation with first-in-class surgeries.

Following are the top hospitals for kidney transplantation in Singapore:

•    National University Centre for Organ Transplantation (NUCOT)

•    The Singapore Clinic for Kidney Diseases

•    Mount Elizabeth Hospital

•    NKF Centre

•    Francisco Kidney & Medical Centre

Singapore has various renowned and experienced kidney transplant surgeons which are awarded various advanced degrees and certifications in renal medicine and transplantations. Following are the top kidney transplant surgeons in Singapore:

•    Dr. Francisco Salcido-Ochoa, Francisco Kidney & Medical Centre

•    Dr. Loh Ping Tyug, The Singapore Clinic for Kidney Diseases

•    Dr. Pary Sivaraman, The Singapore Clinic for Kidney Diseases

•    Dr. Akira Wu Yik Tian, Mount Elizabeth Hospital

What are the legalities involving Kidney Transplant in Singapore

Organ transplantation in Singapore i regulated through the Human Organ Transplantation Act (HOTA), which allows for the removal and transplantation of kidneys, heart, liver and corneas. People in Singapore can also pledge their organs for transplantation, education and research under The Medical (Therapy, Education and Research) Act (MTERA). Part IVA of HOTA also allows the living donor to donate kidney and liver, provided there should be a written authorization of the hospital’s transplant ethics committee, and the continued consent of the donor.

What is the success rate of Kidney Transplantation in Singapore ?

The success rate of kidney transplantation differs in live donor and deceased donor for the survival rate of more than 10 years. An estimation suggests that 1-year and 5-year survival rate in both the categories is more than 90% while a 10-year survival rate is above 90% in live donor category while it was above 80% in deceased donor category.

What is the health care infrastructure of Singapore / Why should opt for Singapore as a destination for your medical treatment?
Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
What are the conditions of the hospitals in Singapore? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Are the doctors/surgeons in Singapore of the best quality?
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
What is the process for obtaining a medical visa in India?
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
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Which are the best cities in Singapore for medical treatment?
Singapore is a sovereign island city in itself. So you can find many options for treatment in Singapore itself, without having to travel too much.

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