Augmentation cystoplasty in renal transplantation: a good and safe option—experience with 25 cases

Nahas, William Carlos; Mazzucchi, Eduardo; Arap, Marco Antônio; Antonopoulos, Ioannis; Neto, Elias David; Ianhez, Luiz Estevam; Arap, Sami

doi:10.1016/s0090-4295(02)01947-7

Cited by 68 publications

(45 citation statements)

References 14 publications

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“…The surgical technique performed in all cases prior to transplantation after initial transurethral resection of the valves was variable over the years, depending on the impact of obstructive uropathy on the upper urinary tract and the renal parenchyma, bladder urodynamic data, and the accumulated clinical and surgical experience. In patients with severe bladder dysfunction, the attempt was made to adapt the bladder to a low-pressure reservoir with adequate capacity by bladder augmentation [22][23][24], the preferred surgery in recent years in our setting, replacing the urinary derivations we used in our initial period [25]. Bladder augmentation was performed with detubularized intestine in two and with ureter in three of our patients, facilitated in these patients by the existing ureterohydronephrosis [26].…”

Section: Discussionmentioning

confidence: 99%

Renal transplantation in children with posterior urethral valves

Mendizábal¹,

Zamora²,

Serrano

et al. 2006

Pediatr Nephrol

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The objective of this study was to analyze whether renal transplantation (RT) in children with posterior urethral valves (PUV) constitutes a special group with respect to groups with different etiologies of end-stage renal disease (ESRD). Between 1979 and 2004, 22 RT were performed in 19 children with PUV. The median age at RT was 10 years (range: 1.3-17). Immunosuppression was provided by triple therapy and polyclonal/monoclonal antibodies. This group was compared with the two control groups: (1) glomerulopathy (n=62) and (2) pyelonephritis/dysplasia (n=42) without lower urinary tract disease, transplanted in the same period. Ten graft losses occurred in 22 transplants: thrombosis (2), acute rejection (3), chronic graft nephropathy (2), and death of patients (3) with a functioning graft in the 1st postoperative month. We did not find significant differences versus the control group in renal function or probability of graft or patient survival at 1, 5, and 10 years. We observed a greater risk of urological complication in patients with PUV. RT with PUV constitutes a special group due to the compulsory young age and the need for careful and complex medicosurgical management; nevertheless, the results achieved were similar to those obtained in our general RT population.

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Section: Discussionmentioning

confidence: 99%

Renal transplantation in children with posterior urethral valves

Mendizábal¹,

Zamora²,

Serrano

et al. 2006

Pediatr Nephrol

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“…Ever since Marshall et al [9] performed their first KT in 1982 on a patient who had previously received BA, some 150 cases of pre-transplantation augmentation, and some 30 cases of augmentation after transplantation [5,7,8,10,11] have been reported in the literature. Papers describing performance of both procedures at the same time (BA + KT) are scarce.…”

Section: Discussionmentioning

confidence: 99%

“…On other occasions such impairment is incipient and stabilisation is attempted. Finally, there are cases in which the patient is already suffering from renal failure and suitable preparation of the bladder reservoir has to be considered in order to prevent the transplanted kidney from deteriorating too [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, BA is made in some occasion with the aim to obtain improved continence [5] Previous statements regarding the association BA/KT have finally not confirmed in the literature, and there aren't urologic or nephrologic guidelines about this issue [1,2,5] One such statements is the following: augmentation should be performed neither very close to nor very far from the transplant. Excessive closeness to the KT would not be convenient, otherwise the effect of immunosuppressants could elicit complications.…”

Section: Introductionmentioning

confidence: 99%

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Kidney transplants in patients with bladder augmentation: correlation and evolution

et al. 2007

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“…Neurogenic bladder was previously considered a relative contraindication of renal transplants. However, renal transplantation has recently become feasible in this condition because of advancements in the diagnostic, treatment and management methods of lower urinary tract disorders [3][4][5]. In this study, we placed all of the patients with neurogenic bladder into a high-risk group because of their potential for urinary tract complications and compared the post-operative management in this group with that in others.…”

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confidence: 99%

A Study of Renal Transplant for Patients with Neurogenic Bladder

Matsuda¹,

Kobayashi²,

Nanmoku³

et al. 2014

UCMS

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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.

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Augmentation cystoplasty in renal transplantation: a good and safe option—experience with 25 cases

Cited by 68 publications

References 14 publications

Renal transplantation in children with posterior urethral valves

Renal transplantation in children with posterior urethral valves

Kidney transplants in patients with bladder augmentation: correlation and evolution

A Study of Renal Transplant for Patients with Neurogenic Bladder

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