OBJECTIVE: To review the literature, analyse the evolution of kidney transplants (KT) in patients with bladder augmentation (BA) and investigate the relation between BA and KT. MATERIALS AND METHODS: Six patients with a history of severe lower urinary tract dysfunction and BA, received a KT at our Unit between 1993 and 2003. Three had moderate renal failure at the moment of the BA. The remaining three had end stage renal failure. RESULTS: With a follow-up of 7 years (mean) we have a patient survival of 100% and a graft survival of 83%. No complications occurred between the BA and the KT. The few KT complications were not related to BA. CONCLUSION: When a bladder dysfunction is present, it should be treated before KT. In noncompliant bladders, BA is the best treatment. This can be done to try to avoid end stage renal failure or only to prepare the lower urinary tract for reception of the transplant. The presence of a BA did not worsen the evolution of the KT.
OBJECTIVE: To review the literature, analyse the evolution of kidney transplants (KT) in patients with bladder augmentation (BA) and investigate the relation between BA and KT. MATERIALS AND METHODS: Six patients with a history of severe lower urinary tract dysfunction and BA, received a KT at our Unit between 1993 and 2003. Three had moderate renal failure at the moment of the BA. The remaining three had end stage renal failure. RESULTS: With a follow-up of 7 years (mean) we have a patient survival of 100% and a graft survival of 83%. No complications occurred between the BA and the KT. The few KT complications were not related to BA. CONCLUSION: When a bladder dysfunction is present, it should be treated before KT. In noncompliant bladders, BA is the best treatment. This can be done to try to avoid end stage renal failure or only to prepare the lower urinary tract for reception of the transplant. The presence of a BA did not worsen the evolution of the KT.
Authors: E J Alfrey; S B Conley; D C Tanney; R Mak; J D Scandling; D C Dafoe; G B Hammer; P D Orlandi; L Page; O Salvatierra Journal: Transplant Proc Date: 1997 Feb-Mar Impact factor: 1.066
Authors: William Carlos Nahas; Eduardo Mazzucchi; Marco Antonio Arap; Ioannis Michel Antonopoulos; Elias David Neto; Luiz Estevam Ianhez; Sami Arap Journal: Urology Date: 2002-11 Impact factor: 2.649
Authors: Tahsin Turunc; Hasan Micozkadioglu; Ayhan Dirim; Baris Kuzgunbay; Cem Aygun; Hakan Ozkardes; Mehmet Haberal Journal: Int Urol Nephrol Date: 2010-05-13 Impact factor: 2.370