Bladder Function Evaluation Before Renal Transplantation in Nonurologic Disease: Is It Necessary?

Silva, Daniel Moser; Prudente, Alessandro; Mazzali, Marilda; Borges, Carlos Nazareno Ferreira; D’Ancona, Carlos

doi:10.1016/j.urology.2013.09.015

Cited by 19 publications

(23 citation statements)

References 24 publications

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“…Previous studies reported decreases in bladder capacity and bladder compliance, detrusor overactivity, and voiding dysfunction in patients who received dialysis for a longer period [4,5]. However, most of these abnormalities in urodynamic parameters subside after RTX with improvement in urine output by the renal graft [6,18]. However, some patients may have persistent LUT dysfunction or LUT symptoms even after successful RTX.…”

Section: Discussionmentioning

confidence: 99%

“…All patients had a follow-up period of 6 months or longer after RT, because adaptation of the LUT typically occurs within 6 months of RTX [6].…”

Section: Methodsmentioning

confidence: 99%

“…In non-neurogenic patients, adaptation of the LUT typically occurs within 6 months of RTX [6] if the glomerular filtration rate and urine output fully recover. However, some patients develop LUT dysfunction and LUT symptoms, which can impact on QOL [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Lower Urinary Tract Dysfunction and Symptoms After Successful Renal Transplantation

et al. 2015

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Background:We investigated risk factors for lower urinary tract (LUT) dysfunction and LUT symptoms in patients who successfully underwent renal transplantation (RTX). Material/Methods:Ninety-five patients (54 males and 41 females) undergoing RTX (median age: 45 years old) at Hokkaido University Hospital were included in this study. Uroflowmetry (UFM), postvoid residual urine volume (PVR), and 24-h bladder diaries were performed. We analyzed risk factors for voiding dysfunction, urinary frequency, polyuria, nocturia, and nocturnal polyuria after RTX using logistic regression analysis. Results:End-stage renal disease arose from diabetes mellitus in 18 patients (19%). Pre-transplant dialysis had been carried out in 74 patients. Voiding dysfunction as assessed by UFM and PVR was observed in 24 patients (27%).Based on the 24-h bladder diaries, we identified frequent micturition in 29 patients (35%), polyuria in 44 (54%), nocturia in 30 (37%), and nocturnal polyuria in 46 (56%). A multivariable logistic regression analysis revealed that diabetes mellitus, which may cause autonomic disorders, was a risk factor for voiding dysfunction and nocturnal polyuria. A risk factor for frequent micturition and nocturia was older age at RTX. Being female was a risk factor for polyuria, which suggested that fluid intake in relation to body weight was higher in females. Conclusions:LUT dysfunction and LUT symptoms were not uncommon in patients who successfully underwent RTX. LUT dysfunction and LUT symptoms need to be considered in patients with risk factors such as diabetes mellitus, older age at RTX, and being female, even after successful RTX.

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Section: Discussionmentioning

confidence: 99%

“…All patients had a follow-up period of 6 months or longer after RT, because adaptation of the LUT typically occurs within 6 months of RTX [6].…”

Section: Methodsmentioning

confidence: 99%

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Risk Factors for Lower Urinary Tract Dysfunction and Symptoms After Successful Renal Transplantation

et al. 2015

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“…Silva et al . showed that pretransplant bladder capacity was linearly associated with a 24‐h urine output, but was not associated with the dialysis duration in 30 renal transplant recipients . Their findings showed that individual residual urine products from native kidneys might be associated with pretransplant bladder capacity .…”

Section: Discussionmentioning

confidence: 97%

“…A low compliance (hypocompliance) bladder is frequently observed in patients with pretransplant defunctionalized small bladders . Two studies reportedly carried out cystometric evaluations pre‐ and post‐transplantation, and showed that the bladder dysfunction status was improved after kidney transplantation . The frequency of VUR has been reported to vary between 1% and 86% in transplant patients who routinely undergo check‐ups .…”

Section: Introductionmentioning

confidence: 99%

Cystometric evaluation of recovery in hypocompliant defunctionalized bladder as a result of long‐term dialysis after kidney transplantation

et al. 2016

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Bladder compliance decreases logarithmically pretransplantation according to dialysis duration. Although the ability of the patients to recover varies, dysfunctions associated with a pretransplant hypocompliant bladder recover to normal ranges after renal transplantation. A pretransplant hypocompliant bladder seems not to be associated with the post-transplant prevalence of urinary complications or vesicoureteral reflux.

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Defunctionalized Bladder and Kidney Transplantation

Marzi

Morselli

Mormile

et al. 2021

Non-Neurogenic Bladder Dysfunctions

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Bladder Function Evaluation Before Renal Transplantation in Nonurologic Disease: Is It Necessary?

Cited by 19 publications

References 24 publications

Risk Factors for Lower Urinary Tract Dysfunction and Symptoms After Successful Renal Transplantation

Risk Factors for Lower Urinary Tract Dysfunction and Symptoms After Successful Renal Transplantation

Cystometric evaluation of recovery in hypocompliant defunctionalized bladder as a result of long‐term dialysis after kidney transplantation

Defunctionalized Bladder and Kidney Transplantation

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