Urodynamic Evaluation and Management prior to Renal Transplantation

Errando, Carlos; Batista, José E.; Caparrós, J.; Vicente, J.S.; Arañó, Pedro

doi:10.1159/000020317

Cited by 47 publications

(48 citation statements)

References 15 publications

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“…They transplanted kidneys in 13 patients with native bladders, with a mean (range) interval between diversion and transplantation of 13 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) years. Before transplantation the bladder capacities measured under anaesthesia were 15-100 mL.…”

Section: Bladder Capacitymentioning

confidence: 99%

Renal transplantation into the abnormal lower urinary tract

2003

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Section: Bladder Capacitymentioning

confidence: 99%

Renal transplantation into the abnormal lower urinary tract

2003

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“…With appropriate selection, patient and graft survival outcomes are not significantly different from those of the general transplant population. 4 Patients with an abnormal bladder need careful evaluation, and the bladder should be suitable to receive the renal graft. This includes facilitating emptying when spontaneous voiding is not possible, restoring bladder capacity and compliance, and increasing the outlet resistance when sphincter failure causes urinary incontinence, all allowing improved quality of life.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Salman¹,

Hassan²,

Selim³

et al. 2018

Exp Clin Transplant

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Objectives: Correction of structural urologic disorders and optimization of emptying and storage function of the bladder should be achieved before renal transplant in patients with abnormal urinary bladders to protect the new transplanted kidney. The aim of this study was to determine the outcomes of renal transplant among the differently treated abnormal bladder patients. Materials and Methods: This was a retrospective study of 30 renal transplant recipients with abnormal bladders who were divided into 2 groups based on abnormal bladder management. Group A included 12 patients who required surgical procedures for their bladder, including 6 with augmentation cystoplasty, 1 with Mitrofanoff procedure, 2 with ileal conduit, 1 with vesicostomy, and 2 who required artificial urinary sphincter. Group B included 18 patients who were treated with oral anticholinergics or beta-3 sympathomimetic drugs, clean intermittent catheterization, suprapubic catheterization, or a combination of these options. Graft function, survival, and complications were compared between both groups. Results: Mean estimated glomerular filtration rates at 1, 3, and 5 years were higher in group A than in group B but not statistically significant. We also found no significant differences in graft survival between the 2 groups. Among all postoperative complications, only incidence of wound infection was significantly higher in group A than in group B (33% vs 5%; P = .04). Conclusions: The options of abnormal bladder treatment (either by surgical procedures or other methods of treatment) did not have an impact on graft outcome after renal transplant as long as a safe and suitable bladder was achieved.

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“…However, it is reported that 86% of patients with ESRD due to diabetic nephropathy have urodynamic abnormality 1 and urodynamic abnormalities were also observed in ESRD due to other diseases. 2,3 Further study is necessary to evaluate the impact of original diseases of ESRD for micturition function.…”

Section: Discussionmentioning

confidence: 99%

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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Urodynamic Evaluation and Management prior to Renal Transplantation

Cited by 47 publications

References 15 publications

Renal transplantation into the abnormal lower urinary tract

Renal transplantation into the abnormal lower urinary tract

Untitled

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

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