ABSTRACT

With more and more living kidney donors worldwide, knowledge regarding long-term risk for kidney donors is of increasing importance. Unfortunately, although many reports of early and late complications after donor nephrectomy have been published, most are retrospective analyses with substantial gaps in data. Nonetheless, one can learn important lessons from published data, to which in this chapter we will add our own experience. The chapter therefore focuses on five key issues, each of which is related to the others:

• renal function • proteinuria and albuminuria • hypertension • occurrence of end-stage renal disease

(ESRD) in donors • general health and causes of death in

donors.