Q: 37 year old male is going for kidney transplant. Patient has ESRD (End Stage Renal Disease) secondary to hyperoxaluria. What suggestion you will have for surgery team?



Answer: Removal of the native kidneys.

In ESRD secondary to hyperoxaluria it is recommended to remove native kidneys at the time of renal transplantation. Native kidneys have residual stones, which makes them highly susceptible to recurrent infections and sepsis.