Effects of Urethral Stricture on Allografts in Kidney Transplantation

Gökçe, Ali Murat; Kaya, Cevdet; Kara, V. Melih; Özel, Leyla; Ruhı, Çağlar; Titiz, M.I.

doi:10.1016/j.transproceed.2015.04.072

Cited by 7 publications

(10 citation statements)

References 7 publications

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“…[25] The authors have indicated that bladder neck incision performed at the end of TURP may decrease the risk of development of bladder neck contracture. [26] In our study, when one considers that median volume of resected prostates was 29 cm 3 , then median incidence rate of contracture was 5.2% which is within an acceptable range.…”

Section: Discussionmentioning

confidence: 49%

“…[17] In our study, during TURP mean weight of the resected prostate specimen, and preoperative mean prostate volume was 29 cm 3 . When outcomes of post-transplantation TURP were evaluated, similar to our study results, Gratzke et al [9] detected preoperative prostate volume as 25 cm 3 , and median weight of prostate tissue resected was 10 gr. In both of these studies it appears that decreased amount of prostate tissue was resected during TURP, when compared with TURPs performed in general population.…”

Section: Discussionmentioning

confidence: 60%

“…Mean age of the patients was 59.2±12 years, median duration of dialysis before RT was 41 (0-180 months) months. Median prostate volume measured with the aid of TRUS was 29 (15-82) cm 3 . Preoperatively mean sCr level was 1.8±0.7 mg/dL, and mean total PSA was 1.6±1.1 mg/dL.…”

Section: Resultsmentioning

confidence: 99%

“…[13] TUIP is an alternative method in lieu of TURP in the surgical treatment of BNO. In urology guidelines, especially in cases with small-sized prostates (<30 cm 3 ), and in patients where the risk of postoperative retrograde ejaculation should be taken into consideration, TUIP is recommended. [14,15] Abd-El Kader et al [16] prospectively compared recently performed cases who had undergone TUIP, and TURP, and found similarly effective outcomes for both methods carried out for prostates weighing ≤30 gr.…”

Section: Discussionmentioning

confidence: 99%

“…Early treatment, and diagnosis of BOO occurring in the lower urinary tract is very important for the maintenance of graft functions. [3] Transurethral resection of the prostate (TURP), and transurethral incision of the prostate (TUIP) are the most prevalently performed surgical methods for the surgical management of BOO. [4] Although scarce number of articles have investigated BOO emerging after RT, investigators recommend treatment soon after RT.…”

Section: Introductionmentioning

confidence: 99%

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The outcomes of transurethral incision/resection of the prostate (TUIP/TURP) performed early after renal transplantation

Sarıer

Duman

Demir

et al. 2018

Turkish Journal of Urology

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Objective: In the early period after renal transplantation, urinary retention stemming from bladder outlet obstruction (BOO) may directly affect graft success. The aim of this study was to evaluate the early and long-term outcomes of transurethral resection of the prostate (TURP) and transurethral incision of prostate (TUIP) procedures performed in the first month following RT due to BOO. Material and methods:Between February 2009 and March 2016, 38 male patients underwent TURP/ TUIP due to BOO within the first 30 days of renal transplantation. The urodynamic and renal function assessment results of all patients were collected during the pre-and postoperative periods. All patients were followed up for a minimum of 12 months for short and long-term complications. The results were evaluated retrospectively. Results:The mean age of the patients who underwent operations was 59.2±12 years. The median duration of dialysis was 41 months (range 0-180). Before the operation the mean serum creatinine (sCr) level was 1.8±0.7 mg/dL, the mean total PSA level was 1.6±1.1 ng/mL. Of the voiding parameters, the mean Qmax and Qave were measured as 8.2±4.5 mL/sec and 4.6±2.5 mL/sec, respectively. The median post-micturition residual urine (PMR) was 105 mL (range 10-400). TURP/TUIP operations were performed at a median of 19 days (range 8-30) after renal transplantations. None of the patients experienced major complications. In the early postoperative period, 5 patients (13.1%) developed urinary tract infection. The mean decrease in sCr in the first month following TURP/TUIP was 1.4±0.4 mg/dL (p<0.001). The mean Qmax (22.4±11.1 mL/sec), and Qave (11.7±5.4 mL/sec) increased significantly (p<0.001), while the median PMR (15 mL, range 0-205) decreased significantly (p<0.001). The mean follow-up period after the procedure was 46.8±23.3 months. During the follow-up period, 3 (7.8%) patients suffered from urethral stricture and 2 (5.2%) patients from bladder neck obstruction. Conclusion:In the surgical treatment of urinary retention arising from BOO in the first month following renal transplantation, TURP/TUIP yield safe and successful results. In addition, regarding the short and long term outcomes, these procedures may be safely performed with low morbidity.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 60%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The outcomes of transurethral incision/resection of the prostate (TUIP/TURP) performed early after renal transplantation

Sarıer

Duman

Demir

et al. 2018

Turkish Journal of Urology

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Behandlung urologischer Komplikationen nach Nierentransplantation

Putz

Leike

Wirth

2015

Urologe

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Update on the Management of Urological Problems Following Kidney Transplantation

Sarıer

Yayar²,

Yavuz³

et al. 2021

Urol Int

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Urological problems in kidney transplant recipients are not limited only to posttransplantation urological complications. These problems are a cause of significant patient mortality and morbidity that have wide-ranging effects on graft survival throughout the entire life of the graft. Ultimately, the transplant comprises a major portion of the urinary system; therefore, the transplant team should be prepared for foreseeable and unforeseeable urological problems in the short and long terms. These mainly include postoperative urological complications (urine leakage, ureteral stenosis, and vesicoureteral reflux), bladder outlet obstruction, and graft urolithiasis. In recent years, significant advances have been made in the management of urological complications, especially due to advances in endourologic interventions. The aim of this review is to summarize the management of urological problems after kidney transplantation in the context of the current literature.

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Effects of Urethral Stricture on Allografts in Kidney Transplantation

Cited by 7 publications

References 7 publications

The outcomes of transurethral incision/resection of the prostate (TUIP/TURP) performed early after renal transplantation

The outcomes of transurethral incision/resection of the prostate (TUIP/TURP) performed early after renal transplantation

Behandlung urologischer Komplikationen nach Nierentransplantation

Update on the Management of Urological Problems Following Kidney Transplantation

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