Is the Use of So Called “Restored Kidneys” for Transplantation is Ethically Unjustified ?


  • Tsuyoshi Awaya
  • Miyako Takagi


In Japan, October 2006, diseased kidney transplants, performed by Dr. Mannami, have been uncovered in Uwajima hospital. Mainly kidneys affected by cancer were used. The reason which was happened was the terrible shortage of donated kidneys. The Ministry of Health, Labour and Welfare announced that diseased kidney transplantations are “not medically adequate” and therefore should be prohibited in principle. Should diseased kidney transplantation be ethically unjustified because it is medically inadequate? From the viewpoint of “patient self-determination,” the concept of diseased kidney transplantation might be justified. We think the concept of using diseased kidneys for transplants, including those affected by cancer, is not wrong. Based on the standpoint of donors, it is more rational to use diseased kidneys than it is to take important kidneys out of healthy people by invasive surgery because removed kidneys are of no use to the previous owner.

Author Biographies

Tsuyoshi Awaya

  • Department of Bioethics, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University

Miyako Takagi

  • University Research Center, Nihon University






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