[Renal transplantation in patients with enterocystoplasty]. / Trasplante renal en pacientes con enterocistoplastia.
Actas Urol Esp
; 27(4): 281-5, 2003 Apr.
Article
em Es
| MEDLINE
| ID: mdl-12830549
ABSTRACT
OBJECTIVES:
To asses the impact of augmentation enterocystoplasty on the success of cadaveric renal transplantation in patients with dysfunctional bladders. PATIENTS ANDMETHODS:
Between 1980 and 2001, 3 men and a woman with severe dysfunctional lower urinary tract underwent a total of 4 cadaveric renal transplantations. The etiologies of the bladder dysfunction were bladder contraction secondary to urinary tuberculosis in all cases. In 3 patients were performed an enterocystoplasty with ileocecal segment and one with ileon.RESULTS:
The overall allograft survival was 58.7 months. Two patients have functioning grafts 27 and 74 months after transplant, 1 has died due to an intestinal disease and other had chronic rejection after follow-up of 98 months. Technical complications occurred in 3 patients. All patients remain continent without catheterization after the transplantation.CONCLUSIONS:
Enterocystoplasty is a safe and effective method of restoring lower urinary tract function in the patient with end stage renal disease and a small non compliant bladder.
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Base de dados:
MEDLINE
Assunto principal:
Derivação Urinária
/
Transplante de Rim
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Ano de publicação:
2003
Tipo de documento:
Article