Kidney Hypertrophy in Living Kidney Donors and Their Corresponding Recipients

Transplant Proc. 2022 Apr;54(3):627-631. doi: 10.1016/j.transproceed.2021.11.040. Epub 2022 Mar 3.

Abstract

Background: In this long-term study we compared kidney volume changes and function between living kidney donors and their corresponding recipients via magnetic resonance imaging after 3 to 8 years post transplantation.

Methods: For measurement of the kidney volume in magnetic resonance imaging images we used 3DSlicer. Statistical analysis was performed via t test and correlation.

Results: A profound volume increase was observed in both transplanted and orthotopic kidney. The volume increase of the orthotopic kidneys was with 58 cm³ ± 23.8 cm³ SD (41%) greater than in the corresponding transplanted kidneys with 43 cm³ ± 36.9 cm³ SD (30%).

Conclusions: This study detected a persistent volume increase in both orthotopic and transplanted kidneys after donation. Neither significant increases of hypertension or proteinuria were observable or could be correlated to renal hypertrophy.

MeSH terms

  • Humans
  • Hypertrophy
  • Kidney / diagnostic imaging
  • Kidney Transplantation* / adverse effects
  • Living Donors
  • Nephrectomy / adverse effects
  • Nephrectomy / methods
  • Tissue Donors