Recipient selection

A patient's suitability for renal transplantation depends upon:

• pre-existing disease:
  • from systemic effects of chronic renal failure, such as hypertension - these are more common in older patients
  • other disease - malignancy, pre-existing cardiovascular disease
    
• technical feasibility of operation:
  • patients with bladder outflow obstruction may require a transplant into an ileal or colonic conduit
  • arterial anastomosis may be difficult in patients with extensive vascular disease

Reference

1. Guidelines on Renal Transplantation; European Association of Urology (2018 update)