Abstract
This is a report of the nine cases who received third renal transplantation at Baqiyatallah Hospital in Tehran over the last 15 years. The surgical technique for third renal transplantation and the results are described concisely. The authors' efforts should be honored, and the article is worth being accepted for publication in the International Journal of Urology; however, I thought that this manuscript would be better if each clinical course of those nine patients were described ‘in detail’ instead of ‘mean values’ of graft survivals and intervals. I would also like to know whether the living donors were related or un-related and how old they were. Whenever we read these kinds of articles, we have to consider the differences between nations, including legal, cultural and religious backgrounds. In Japan, we have little opportunity for performing second and third renal transplantation. This is probably (and mainly) due to a shortage of organ donors. The number of organ donors in Iran might be more than that in Japan. The graft survivals of the second and third grafts shown in this article suggest that we do not have to worry so much about the second and third set phenomena. For all who hope for a chance to receive organ transplantation, the effort to increase the number of organ donors is essential.
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