Long-term results of renal transplantation in children with the prune-belly syndrome.
OBJECTIVE
We assessed the long-term efficacy of renal transplantation in children with the prune-belly syndrome.


METHODS
We retrospectively compared the outcomes of renal transplantation in 9 children with the prune-belly syndrome and 100 with malformative uropathy.


RESULTS
Graft survival in the prune-belly syndrome and control groups was 50 and 72% at 5 years, and 50 and 47% at 10 years, respectively (not statistically significant). No statistically significant increase in serum creatinine was noted at 10 years in children with the prune-belly syndrome. Two patients with the prune-belly syndrome underwent internal urethrotomy after transplantation. All patients voided well and did not require intermittent catheterization.


CONCLUSIONS
Renal transplantation in children with the prune-belly syndrome is not associated with a high rate of failure. However, these patients must be followed with regular urological evaluation since voiding efficiency may deteriorate.
Fontaine
E
E
Department of Urology, Ambroise Pare Hospital, University of West Paris, Boulogne, France.
Salomon
L
L
Gagnadoux
M F
MF
Niaudet
P
P
Broyer
M
M
Beurton
D
D
D002648:Child; D002675:Child, Preschool; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011535:Prune Belly Syndrome / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors