Evaluation of Renal Transplantations Performed in the Transplantation Center at Sanko University Medical School

•The success of living donor renal transplantations are higher than cadaveric transplantations.•It is important to keep cold ischemia durations short to improve graft survival.•Multidisciplinary studies should be performed to increase the number of cadaveric and living kidney transplants.•High creatinine levels in marginal donors do not affect early graft function.•Increases in posttransplant BMI were notable.•Ureteroneocystostomy and native ureteral pelvic anastomosis are safe and efficient treatments for ureteral complications and can be considered based patient and cause of the ureteral complication.

IntroductionRenal transplantation is the optimum treatment to improve the quality and length of life in end-stage renal disease. The aim of this study is to evaluate patients who underwent renal transplantation in our transplantation center and to present our clinical experience.MethodsLiving donor and cadaveric renal transplants performed in the Transplantation Center of Sanko University Medical School between 2011 and 2014 were evaluated retrospectively. In our study, important parameters, such as delayed graft function, early and late phase infections and urologic complications after the operation, results of renal transplants with marginal donors with high creatinine levels, and increase in posttransplant body mass index were evaluated regarding to the living donor and cadaveric renal transplants performed in our transplantation center.ResultsWe included 136 patients were (92 males [68%] and 44 females [32%]), with an average age of 38.9 ± 9.8 years (range, 17-67). There were 63 living donor renal transplantations (43%) and 73 cadaveric renal transplantations (57%). The youngest cadaveric donor was 3 years old, and the oldest was 86. Fifteen of the cadaveric donors had blood creatinine levels around 1.5 g/dL. The highest level of creatinine from cadaveric donors was 5.1 g/dL.ConclusionsLiving donor renal transplantations have higher success rate than cadaveric renal transplantations. Ureteroneocystostomy and native ureteropyelostomy seem to be safe and efficient treatment methods for ureteral complications. High creatinine levels in marginal donors do not affect graft function in early stages.