1996
DOI: 10.1097/00007890-199612270-00012
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Evaluation of Voiding Cystourethrography Prior to Renal Transplantation1

Abstract: In many centers, voiding cystourethrography is a routine part of pretransplantation assessment of the lower urinary tract. To assess the value of this investigation, a retrospective review of transplant candidates evaluated in our center over 2 years was undertaken. A total of 517 patients were fully evaluable. Only 13 voiding cystourethrograms (VCUGs) (2.5%) of 517 were found to be abnormal. Three patients with reflux alone did not require intervention before transplantation. Four patients with decreased blad… Show more

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Cited by 27 publications
(19 citation statements)
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“…There are no reports of medical therapy use in the renal transplant literature, but, presumably, this would be the first-line therapy as it is in the general population (9). However, medical therapy does add additional drugs to the lifelong drug regimen that already exists in transplant patients, (6) and there is one report of pretransplant TURP in a patient who refused medical therapy (20).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…There are no reports of medical therapy use in the renal transplant literature, but, presumably, this would be the first-line therapy as it is in the general population (9). However, medical therapy does add additional drugs to the lifelong drug regimen that already exists in transplant patients, (6) and there is one report of pretransplant TURP in a patient who refused medical therapy (20).…”
Section: Discussionmentioning
confidence: 99%
“…Evaluation for urologic abnormalities including BPH before transplant listing is generally regarded as necessary, although programs utilize different methods of screening. At a minimum, it has been recommended that this evaluation include a history, examination, urinalysis, urine culture, and upper tract imaging, (14,20,21) for men in whom outlet obstruction is suspected; uroflometry combined with a postvoid residual volume is an excellent objective screening test (14). Once a patient is listed for transplant, BPH surveillance is not standard practice, although one author recommends annual assessment for patients on the waiting list (10).…”
Section: Discussionmentioning
confidence: 99%
“…The challenge of limited kidney donors to meet the growing demand for organs has contributed to the development of "extended criteria" whereby donors that were not initially considered for donation are now being considered [4]. The incidence of urological abnormalities without a prior history is extremely rare [16,17], thus routine urological assessment is not warranted. For those with a urological history, an evaluation by a urologist should probably be mandatory.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, formal assessment of the lower urinary tract should be done in all children before transplantation. Voiding cystourethrography is a reliable method of detecting significant abnormalities and has been shown to be a cost efficient means of initial investigation (9).…”
Section: Lower Urinary Tractmentioning
confidence: 99%