Estimation of renal length was carried out during radionuclide functio
n studies, in cases of pediatric kidneys transplanted into adolescents
or adults. In all 24 cases of single kidney transplants, the kidneys
eventually increased in size, but at varying rates. From 5 cases with
repeat studies close in time, and shortly after transplantation, an ap
parent maximal growth rate was estimated. In 3 pairs of dual renal tra
nsplants, with both kidneys surviving, marked differences in growth of
each member of the pair was noted. The present initial description, o
f rates of change in size of the transplanted pediatric kidneys, may s
erve as a baseline from which to sort out the contributions of pre- an
d post-transplant factors.