A Study of Renal Transplant for Patients with Neurogenic Bladder

Abstract

Abstract:In our hospital, we performed renal transplants on 12 patients with neurogenic bladder between 1992 and 2010. Three patients with bladder dysfunction had undergone pre-operative cystoplasties for the improvement of their bladder compliance. Patients were divided into high-risk and low-risk groups according to risk of urinary tract complications and infections after renal transplants. The levels of risk were determined on the basis the patients' pre-operative bladder functions and urination states, and the two groups were compared with respect to the incidence of post-operative UTIs (urinary tract infections) and level of renal function. All patients, except a female who could not perform regular CIC (clean intermittent catheterizations) to maintain adequate urine output, were able to maintain renal function. A recipient was able to deliver a baby safely. In addition, we were able to treat post-operative UTIs by increasing the frequency of CICs and by adding a night balloon.