[Chronological evolution of the renal transplant in Spain].

INTRODUCTION: We try to establish the chronological evolution that has taken the renal transplant in Spain. Supported on the heuristic one we gather from the first experiences and scientific works published at the beginning of the sixties up to those of the finals of the XXth century in which the procedure is already consolidated.

MATERIAL AND METHOD: We check the Spanish bibliography urology, the publications of renal transplant, those of dialysis and the nefrology and all the bibliographical references we have located beside contributing our personal experience.

RESULTS: The zeal to help the patients in renal terminal insufficiency was the engine that stimulated the Spanish urologist to begin with the practice of the renal transplants. In May, 1960 the Dr. Martinez-Piñeiro carries out the first one, without satisfactory result and is in July, 1965 when the team of the Dr. Gil-Vernet realizes a transplant of corpse with long billiard cue sobrevida of the patient and of the organ. With the advances in the treatments immunosuppressants, the procedure is consolidated as the best option for the renal insufficiency treatment and the Spain principal hospitals add to the transplants.

CONCLUSIONS: The Spanish urologist, with their effort, dedication and confidence in the results of the technology, are the beginning and principal persons in charge of the surgical activity of the implant and only when the benefit was evident the Administration moved to establishing the procedure for its development; after the constitution of the ONT, with its unfolding of means, they achieves that Spain reaches and guarantees a world primacy so much in number of donors as of implants.