title: [Polycystic kidney in the adult and kidney transplantation. Our experience].
abstract: OBJECTIVE
  To determine the need for nephrectomy prior to renal transplantation in patients with adult polycystic renal disease.
  
  
  METHODS
  We reviewed the records of 54 (31 females, 23 males) of 62 patients with polycystic renal disease that had been treated at our center from 1951 to 1994. Eight of the earlier cases, whose complete clinical data were unavailable, were excluded from the study. The patients were classified into three groups: nephrectomized transplanted, nephrectomized non-transplanted and non-nephrectomized transplanted patients.
  
  
  RESULTS
  No patient had required nephrectomy due to a tumor. No surgical difficulty during transplantation had been reported in the non-nephrectomized patients. Nephrectomy had been performed in most of the cases for hematuria or preparatory to renal transplantation. The infections complications (11.76%) were resolved with antibiotic therapy.
  
  
  CONCLUSIONS
  In the absence of renal tumor and given the low prevalence of complicated cysts, in our view it is unnecessary to perform nephrectomy routinely prior to renal transplantation in patients with adult polycystic renal disease. Nephrectomy should be reserved for cases with severe cystic complications, such as severe intracystic hemorrhage, hematuria causing anemia, pyonephrosis, or patients with grossly enlarged kidneys in whom we suspect that technical difficulties might arise at the time of transplantation.
authors.affiliation: Servicio de Urología, Fundación Puigvert, IUNA., Barcelona, España.
authors.forename: F
authors.initials: F
authors.lastname: Monreal García de Vicuña
authors.forename: J
authors.initials: J
authors.lastname: Rubio Briones
authors.forename: J
authors.initials: J
authors.lastname: Caparrós Sariol
authors.forename: M P
authors.initials: MP
authors.lastname: Lagunas Pes
authors.forename: J
authors.initials: J
authors.lastname: Vicente Rodríguez
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D007690:Polycystic Kidney Diseases / Q000601:surgery*; D011300:Preoperative Care