Renal transplantation in patients with lower urinary tract dysfunction

Parada, B.; Figueiredo, Arnaldo; Mota, A.; Furtado, A.

doi:10.1016/s0041-1345(03)00320-8

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Many reports indicate that an abnormal lower urinary bladder or posterior urethral valves are no longer a contraindication to renal transplantation, as patients with lower urinary tract anomalies have previously been considered poor candidates for renal transplantation. However, newer techniques of diagnosis and reconstructive urologic surgery have extended the indications and improved the success rate of renal transplantation in these patients (4-6). Infection sources should be controlled to prevent a flare-up and possible septicemia that may occur after the initiation of immunosuppressive therapy with transplantation.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Renal Transplant Recipients that Underwent Urologic Surgery for de novo Disease Before and After Transplantation

et al. 2005

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The pre-transplantation goal of the urologist is the optimization of urinary tract condition. Therefore, urologic surgery may be needed before or after renal transplantation. We analyzed the results of urologic surgery performed because of de novo urologic diseases. Between January 1986 and January 2001, 281 patients underwent renal transplantation, and 23 urologic surgical procedures were performed on 21 transplant recipients before or after renal transplantation because of de novo urologic diseases. By review the major reasons for urologic surgery in recipients were polycystic kidney diseases, vesicoureteral reflux, and dysfunctional voiding disorders. Nineteen surgical corrective procedures were done average 2.9 months before transplantation. The mortality rate was 10.5%. Four patients underwent urologic surgery at an average 57.5 months after transplantation. We highlight the fact that patients with uremia are vulnerable to surgical complications, and conclude that more intensive long-term urologic follow-ups should be conducted on recipients.

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Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Renal Transplant Recipients that Underwent Urologic Surgery for de novo Disease Before and After Transplantation

et al. 2005

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“…No entanto, a investigação do trato urinário inferior, através da urodinâmica pré-Tx e técnicas de reconstrução do trato urinário inferior com ampliação vesical e derivações urinárias ampliaram as indicações e a taxa de sucesso do transplante renal nesse grupo de pacientes. 9 O presente estudo mostra um caso de ampliação vesical pré-Tx. A técnica utilizada foi ileocistoplastia continente utilizando-se o princípio de Mitrofanoff.…”

Section: Figura 1 -Fácies Típica Da Síndrome De Ochoa Evidenciada Com O Sorrisounclassified

Transplante Renal Em Receptor Com Síndrome De Ochoa E Insuficiência Renal Crônica - Relato De Caso

Gomes¹,

Oliveira²,

Santos³

et al. 2011

bjt

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Os autores relatam o caso de uma paciente do sexo feminino, 21 anos, com diagnóstico de Síndrome de Ochoa e portadora de Insuficiência Renal Crônica (IRC) dialítica, submetida a transplante renal com doador falecido e sua evolução pós- transplante. O Transplante renal é uma opção segura para pacientes com Síndrome de Ochoa que evoluem para IRC terminal, apesar do risco aumentado de infecção do trato urinário pós-transplante. A ampliação vesical com ou sem derivação urinária externa continente, além do cateterismo vesical intermitente deve ser recomendada para prevenção de dano ao enxerto renal.

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Current possibilities of improving the results of kidney transplantation in patients of the older age group, including those with an aggravated urological history

Khubutiya¹,

Rzhevskaya²,

Лисенок³

2021

Transplantologiâ (Mosk.)

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Introduction. All over the world and in Russia, the number of patients requiring dialysis therapy and kidney transplantation for chronic renal failure in the end-stage of the renal disease is increasing. In many countries of the world, the number of dialysis patients over 60 years of age accounts for 30 to 45% of all patients with chronic renal failure. Meantime, taking into account the improved methods for early diagnosis of chronic renal failure and the treatment methods for chronic kidney disease, including the renal replacement therapy, we can expect an increase in the number of elderly potential kidney transplant recipients. The likelihood of receiving a renal graft in elderly patients is significantly lower than in young recipients. Elderly patients are known to have a higher risk of death while waiting for a kidney transplant due to higher morbidity and lethality on dialysis. For this reason, the urgency of increasing the availability of kidney transplantation in elderly patients is growing over time. One of the solutions can be the use of kidneys from suboptimal donors with a far from ideal graft quality, but which could meet the needs for transplant care of the older age group of patients. The older age of a recipient entails a certain risk of developing a graft dysfunction due to the presence of concomitant diseases, and the potential risk increases even more with kidney transplants from expanded criteria donors. If a reduced functional reserve of kidneys removed from donors with extended criteria is identified, two-kidney transplantation is possible, which provides fairly good long-term results. To reduce the risk of a kidney graft loss, a careful selection of recipients is necessary, taking into account their co-morbidities, including the presence of urological diseases that impair the function of the upper and lower urinary tract. Their timely identification and correction makes it possible to raise the availability of kidney transplantation for elderly patients and improve its results. This review presents the results of the studies conducted in various world transplant centers, covers the mortality rates, kidney graft and recipient survival rates.The study purpose was to summarize the actual data and the results of the study on kidney transplantation in elderly patients with urological pathology.

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Renal transplantation in patients with lower urinary tract dysfunction

Cited by 3 publications

References 8 publications

Clinical Characteristics of Renal Transplant Recipients that Underwent Urologic Surgery for de novo Disease Before and After Transplantation

Clinical Characteristics of Renal Transplant Recipients that Underwent Urologic Surgery for de novo Disease Before and After Transplantation

Transplante Renal Em Receptor Com Síndrome De Ochoa E Insuficiência Renal Crônica - Relato De Caso

Current possibilities of improving the results of kidney transplantation in patients of the older age group, including those with an aggravated urological history

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