[Results of renal transplantation in children with obstructive uropathy due to malformations].
180 renal transplants have been performed at our center in children less than 15 years old. Even if the distribution is equivalent (50/50%) between kidneys from living and cadaver donors, graft actuarial survival rate is 20% better at 5 years in the first group. 42 grafts have been implanted for end-stage renal failure due to chronic pyelonephritis (CNP). Among them, 17 were due to obstructive L.U.T. uropathies (posterior urethral valves): even if the results are identical in that subgroup compared to CPN group, there is an increased morbidity risk as 2 ureterovesical stenosis and 1 secondary vesico-ureteral reflux were observed (3/17 versus 4/163 in the remnant population).
Squifflet
J P
JP
Service de transplantation rénale et pancréatique, Université catholique de Louvain.
Caramuta
U
U
Gianello
P
P
Wese
F
F
Opsomer
R J
RJ
Alexandre
G P
GP
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D016030:Kidney Transplantation; D010043:Outcome and Process Assessment, Health Care; D016019:Survival Analysis; D014517:Ureteral Obstruction / Q000150:complications / Q000601:surgery; D014524:Urethral Obstruction / Q000150:complications / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D014551:Urinary Tract / Q000002:abnormalities*
Résultats de la transplantation rénale chez l'enfant avec uropathie malformative obstructive.