Renal transplantation in children following augmentation ureterocystoplasty.
Urology
; 50(2): 260-2, 1997 Aug.
Article
em En
| MEDLINE
| ID: mdl-9255299
ABSTRACT
OBJECTIVES:
To assess the impact of augmentation ureterocystoplasty on the success of cadaveric renal transplantation in children with dysfunctional bladders.METHODS:
Two patients with end-stage renal failure secondary to dysfunctional bladders (one myelodysplasia and one posterior urethral valves) underwent augmentation ureterocystoplasty prior to renal transplantation in order to increase bladder capacity and improve compliance.RESULTS:
Significant improvement of bladder storage function was achieved in both patients. By the use of megaureter for augmentation, untoward sequelae of enteric or gastric augmentation were obviated. Renal transplantation was successful in both patients. Both have normal renal function 4 and 3 years after transplantation.CONCLUSIONS:
Renal transplantation into bladders previously augmented with megaureters is successful. The use of urothelial-lined biomaterial for augmentation avoids the potential complications of gastro- or enterocystoplasty, which are especially dangerous in transplant patients.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Ureter
/
Bexiga Urinária
/
Doenças da Bexiga Urinária
/
Transplante de Rim
/
Falência Renal Crônica
Limite:
Child
/
Child, preschool
/
Humans
/
Male
Idioma:
En
Ano de publicação:
1997
Tipo de documento:
Article