[Kidney transplantation in children with complex urogenital malformations-what should be considered?] / Kindernierentransplantation bei komplexen urogenitalen Fehlbildungen was gibt es zu beachten?
Urologie
; 63(4): 351-356, 2024 Apr.
Article
en De
| MEDLINE
| ID: mdl-38324034
ABSTRACT
BACKGROUND:
Congenital anomalies of the kidneys and urinary tract (CAKUT) are the most common cause of end-stage renal disease (ESRD) in children. Approximately one third of children with CAKUT have lower urinary tract dysfunction (LUTD).AIM:
This article highlights the important aspects that need to be considered in kidney transplantation of children with complex urogenital malformations. MATERIALS ANDMETHODS:
The paper reviews the existing literature regarding the evaluation, preparation, perioperative management, and follow-up of children with complex urogenital malformations and ESRD undergoing renal transplantation.RESULTS:
Comprehensive diagnostics are required before any pediatric kidney transplantation. If LUTD is suspected, voiding cystourethrography and a urodynamic examination should be performed. Treatment of symptomatic vesicoureterorenal reflux and LUTD is mandatory prior to pediatric kidney transplantation. Following successful kidney transplantation of children with congenital urogenital malformations, lifelong follow-up is required. Regular reevaluations of the bladder by means of urodynamic examinations are necessary. In patients following bladder augmentation with intestinal segments or urinary diversions in childhood, regular endoscopic examinations of the urinary tract are recommended to rule out secondary malignancy.CONCLUSION:
Treatment of children with complex urogenital malformations should be carried out in centers with appropriate expertise.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Anomalías Urogenitales
/
Reflujo Vesicoureteral
/
Trasplante de Riñón
/
Fallo Renal Crónico
Límite:
Child
/
Humans
Idioma:
De
Revista:
Urologie
Año:
2024
Tipo del documento:
Article