Postoperative adaptation of urinary bladder to variable volume of urine in the initial period following kidney transplantation

Mizerski, A; Clark, Kemp; Ostrowski, Marek; Ciechanowski, Kazimierz; Kamiński, Marek; Sulikowski, J; Sieńko, Jerzy; Romanowski, M; Pabisiak, Krzysztof

doi:10.1016/s0041-1345(03)00778-4

Cited by 17 publications

(14 citation statements)

References 7 publications

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“…After successful RTX, adaptation of the bladder occurs and urodynamic parameters such as maximum flow rate, bladder capacity and bladder compliance reach to the plateau within 6 months after RTX. 4 In the present study, although micturition function was assessed at 6 months and more after RTX, voiding dysfunction presented in 28%, which was not related to age, periods of dialysis, time after RTX, polyuria, or nocturnal polyuria. Voiding dysfunction after RTX may be implicated in original disease for ESRD.…”

Section: Discussioncontrasting

confidence: 57%

“…[1][2][3] After successful RTX, urine production is immediately restored and the LUT needs to adapt to variable urine volumes after RTX. Although the adaptation of the LUT usually occurs within 6 months after RTX, 4 some studies have revealed that LUT dysfunction and LUT symptoms might persist long-term. [5][6][7] Meanwhile, patients with RTX are instructed to take ample amounts of fluid , especially during the early periods after RTX, because of preservation of renal function.…”

Section: Introductionmentioning

confidence: 99%

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Lower urinary tract symptoms and their impact on quality of life after successful renal transplantation

et al. 2009

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Objective: To investigate lower urinary tract symptoms (LUTS) and their impact on quality of life (QOL) in patients having undergone renal transplantation (RTX). Methods: Forty-three patients (25 males and 18 females; age 20-68 years) undergoing RTX at Hokkaido University Hospital were included in this study. Median follow-up after RTX was 41 months (range 6-184). Pre-transplant dialysis had been carried out in 38 patients (median: 4.3 years, range: 1 month-31 years). All patients were assessed by uroflowmetry (UFM), postvoid residual urine volume (PVR), 24 h bladder diary, and International Prostate Symptom Score (IPSS). QOL score and King's Health Questionnaire (KHQ) were used for the assessment of LUTS-related QOL. Results: Mean fluid intake volume and urine output volume for 24 h were 2136 mL (1150-3430 mL) and 2446 mL (1336-4733 mL), respectively. Voiding dysfunction assessed by UFM and PVR was observed in 12 patients (28%) showing higher IPSS. QOL score and overall QOL in KHQ were not different between patients with and without voiding dysfunction. Although 19 (49%) had polyuria, 20 (51%) had nocturnal polyuria, which affected nocturia in IPSS as well as sleep/energy disturbances in KHQ compared with patients without nocturnal polyuria. Conclusions: Patients having RTX frequently present voiding dysfunction and nocturia basically caused by nocturnal polyuria. We should focus on LUTS in these patients to provide an appropriate management.

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Section: Discussioncontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Lower urinary tract symptoms and their impact on quality of life after successful renal transplantation

et al. 2009

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“…In the present study, a considerable decrease in detrusor compliance and capacity was detected in the patients with the daily urine amount of 50 cc or less and the hemodialyzed patients who had received long-term treatment. It is clear that urine will increase detrusor capacity following transplantation, which will in turn improve detrusor compliance [7]. Additionally, frequency and nocturia were usually seen after transplantation in the patients who had low bladder capacity before transplantation, and these symptoms were lasted until the bladder capacity reached to the normal volume [8].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, urodynamic studies are required after transplantation to determine the degree of improvement in detrusor capacity and compliance and whether additional treatment methods are necessary. It is known that high detrusor pressure persisting after transplantation damages the kidneys [7]. The other important point is ESRD time.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of video-urodynamic studies before renal transplantation in chronic renal failure patients

et al. 2010

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“…However, their bladder function was shown to recover naturally after RTx. Time to bladder function recovery has been reported to be up to 24 weeks after RTx 2 …”

Section: Introductionmentioning

confidence: 99%

Bladder function of end‐stage renal disease patients

Tsunoyama¹,

Ishida²,

Omoto³

et al. 2010

Int J of Urology

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Objectives:To evaluate the bladder function of end-stage renal disease (ESRD) patients by using video H2O cystometry (CM) before renal transplantation (RTx). Methods: A total of 92 patients (57 men and 35 women; mean age 45.4 years; mean period of renal replacement therapy (RRT) 60.2 months) were divided in two groups based on the presence of detrusor overactivity (DO). In each group the following parameters were recorded during CM: first sensation (FS), maximum cystometric capacity (MC) and compliance. The effect of the duration of RRT on the H2O cystometric results was also assessed. Results: There were 25 patients (27.2%) who had DO before their operation, this ratio being higher than the general Japanese population. Subjects with DO were observed independently for the duration of RRT and there was no difference in the prevalence of DO based on this variable. In contrast, 50 patients kept their bladder compliance in the normal range. The numerical value of FS, MC and compliance decreased proportionally for the duration of RRT. Conclusions: Patients undergoing RTx frequently present with bladder dysfunction in terms of low capacity, low compliance and also DO. This bladder dysfunction has a negative impact on patients' quality of life. Thus, bladder function and its related symptoms require specific attention during the management of transplant patients.

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Postoperative adaptation of urinary bladder to variable volume of urine in the initial period following kidney transplantation

Cited by 17 publications

References 7 publications

Lower urinary tract symptoms and their impact on quality of life after successful renal transplantation

Lower urinary tract symptoms and their impact on quality of life after successful renal transplantation

Evaluation of video-urodynamic studies before renal transplantation in chronic renal failure patients

Bladder function of end‐stage renal disease patients

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