Psychiatric considerations in renal transplant surgery

Kidney transplantation offers the patient with end stage renal disease an opportunity for a prolonged and nearly normal life. However, the procedure itself may create fear, anxiety, and depression in the recipient. Other problems include sexual dysfunction, distorted self-image, and suicide risk. Using a composite case history, the authors describe the complex reactions that may occur in the individual and his family. The psychiatrist can function as an integral part of the transplant team both in helping to prevent problems and in helping to meet the needs of the patient when difficulties do occur.