Selected prognostic factors of long-term renal graft function.

Kidney transplantation is a method of choice as a treatment for end-stage renal disease in indicated cases. However, the long graft survival represents only about 50% due to various types of rejection as a leading cause of graft loss in renal transplant recipients. The early dg. of rejection and especially acute rejection, it's adequate management, decreased risk for the future chronic rejection nephropathy. This is a primary goal of the clinician caring for these patients. We use several methods in order to make diagnosis of acute rejection. Urine cytology and urine flow cytometry have been found highly sensitive specific for the early diagnosis of acute rejection, provide us useful information in differentiation from others causes of graft dysfunction. Urine analysis have some advantage over other diagnostic methods and can facilitate the observation of a graft over time.