Simultaneous native nephrectomy with renal transplantation: Our experience and a brief literature review

Objective: There is a need for native kidney nephrectomy to increase renal transplant surgery’s safety or improve postoperative function in some cases. The timing of the procedure still controversial. This study aimed present our procedures performed simultaneously with transplantation light literature. Material and Methods: A retrospective analysis was on data 245 patients who underwent due end-stage failure (ESRD) between September 2011 February 2020. Patients unilateral bilateral were included. Demographic characteristics patients, preoperative laboratory data, primary disease, presence comorbid diseases, duration dialysis, vascular anastomosis, surgical clinical complications, hospital stay, graft functions recorded. Results: 12 ipsilateral transplantation. diseases leading ESRD as follows; 6 (50%) Polycystic Kidney Disease (PKD), 5 (41.6%) vesicoureteral reflux (VUR), one (8.3%) patient stones. Postoperative fever three erythrocyte replacement therapy urosepsis urinary drainage catheter requirement lymphocele Two developed humoral rejection, two BK virus nephropathy. Conclusion: In appropriate indications, simultaneous safe effective method preparing centers sufficient experience equipment, it may be preferable perform Keywords: transplantation, nephrectomy, polycystic complications.