Kidney donation

What is organ transplantation, here kidney transplantation?

The only way for kidney patients to avoid dialysis (blood washing) is through organ transplantation. One organ is enough for this, i.e. a kidney.

Organ transplants in Germany occur through two ways (which are defined/managed by state-supported bodies such as the BäK and the DSO):

  1. Living organ transplant (Here the donor is a healthy person, i.e. a living donor. This person may only donate one kidney or part of the liver.)
  2. Postmortem organ removal after brain death (up to nine organs/tissues are removed from a brain-dead person).

Living donation – organ transplant

The kidney donation may come from a living donor (legal text on living donation). A person has two kidneys and may/can donate one of these to a close relative, if self-determined.

To do this, the blood group, blood cross sample for typing (HLA antigens) between donor and recipient must correspond to the allocation or organ transplant criteria and the donor must be “healthy”.

Another method of living donation is CROSS-OVER LIVING DONATION

Postmortem organ removal after brain death

Postmortem organ removal” (also called waiting list transplantation) is only possible from a brain-dead person in a hospital intensive care unit. (Definition: brain death)

For this to happen, the blood group and blood cross sample of the brain dead person must also meet certain criteria and of course this brain dead person must also have had healthy organs.

Up to 7-9 organs/tissues are then removed from this, for a maximum of 7-9 sick people: heart, lungs, liver, 2x kidneys, pancreas, intestines, cornea and parts of skin/tissue.

The organ recipient and the organ donor are then prepared for the operation and pre- and post-operative care according to predefined criteria.

Until the transplant (kidney waiting patients are put on a list and wait up to 11 years for a kidney transplant), the organ recipient is subject to preliminary examinations.

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What are preliminary examinations?

The organ recipient, in this case the kidney patient, is previously prepared for the kidney transplant through certain examinations.

These investigations include

1. Examination of surgical operability:

  • cardiovascular check-ups,
  • Abdominal check-ups and
  • Vascular check-ups.

2. Exclude sources of infection

  • Blood laboratory tests

If these were positive (because these are very lengthy in Germany and sometimes expire quickly before you have gone through the first round, as it is very pronounced), the date of the operation is worked towards and set for the living donation.

With “post-mortem organ donation”, kidney patients are first placed on a waiting list marked “T”. T for “transplantable” if all tests are positive. If the examinations do not meet the requirements of the rules set by the German Medical Association, the entry is set to “NT“, for “not transplantable“. There is another entry with “HU“. This is set in urgent cases (e.g. danger to life) and means “high urgent“.

These prioritizations (NT,T,HU) are passed on to Eurotransplant by the transplant centers, depending on the assessment of the transplant doctor.

The waiting list transplants are organized and handled by two foundations, led by EUROTRANSPLANT and DSO.

Living donor transplants are organized and carried out by the clinic or hospital carrying out the operation.

Since the waiting list for the Organ recipient is very long, a waiting list that is determined by the German Medical Association based on criteria and factors – who can and should be at the top of the list and how urgently – is waiting in Germany 8-11 years on a redeeming donor organ, here a kidney transplant, Due to organ deficiency through the Decision-making regulations of the German Transplantation Act arise for such a long time for the waiting patients painful path with social consequences, waiting times in Germany that exist nowhere else in the world.

During this time you will continue to undergo dialysis (this is where the… Concomitant diseases in these patients) and the preliminary examinations must continue to be carried out every year or every 2 years (depending on age), which are carried out by the Medical Association defined Guidelines prescribed rules (with a very strong understanding of care), unless you are taken off the list and are “not transplantable”, i.e. “NT”.

This Regulate are who are with a waiting patient “NT” leads, in Germany to the extent that it is developed (keep in mind, rules are set that mess around with investigation methods). Signs of tumor onset are punished even though there is no suspicion!), that so many patients are waiting on the waiting list due to a lack of donor organs due to legal irregularities in the transplant system, so that patients are then on the waiting list during this long period not transplantable “NT” be explained. No other European country does something like this! What’s wrong here?

You can do it here, for example. read:

Waiting list placement at

Is this what health policy wants? Organ donation – laws that increase numbers are intentionally kept inactive and the objection regulation is denied. Words on this information platform are: “prospect of success” and “necessity”, word combinations from the economics lesson. Since the numbers are so low, are you trying to tighten the rules and limit them to the likelihood of success and necessity? What an injustice! No other country has such expressions in their state information platforms for organ donation!

The Wartepatient

Figures about transplants in the 40 German centers