title: Single kidney outcome and management in persons with spinal cord injury.
abstract: This case study examined the outcomes of persons with spinal cord injury (SCI) who had a single kidney. A Urologic Database, including 1655 persons with SCI between 1969 and 1997, was examined and 22 persons were identified with single kidneys. Twenty persons had adequate follow-up. Renal function was measured by total and individual kidney effective renal plasma flow (ERPF). Of 11 persons who had a single kidney prior to injury or as a result of an associated injury, all maintained a normal ERPF for an average of 8.6 years. Of 9 persons who had removal of a kidney following their injury for other diseases or urinary complications, 3 were deceased, but 2 had a normal ERPF in the remaining kidney prior to death. One with vesicoureteral reflux had decreased renal function in the remaining kidney. Recurrent renal calculi in a single kidney carries risks for decreasing renal function, urosepsis, and death.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Spain Rehabilition Center, 35233, USA.
authors.forename: S L
authors.initials: SL
authors.lastname: Stover
authors.forename: K C
authors.initials: KC
authors.lastname: Wiggins
mesh_terms: D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000098:blood supply / Q000503:physiopathology; D007669:Kidney Calculi / Q000401:mortality / Q000503:physiopathology; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications / Q000401:mortality / Q000503:physiopathology*; D012039:Regional Blood Flow / Q000502:physiology; D013119:Spinal Cord Injuries / Q000401:mortality / Q000503:physiopathology*; D015996:Survival Rate; D001750:Urinary Bladder, Neurogenic / Q000401:mortality / Q000503:physiopathology*; D014563:Urodynamics / Q000502:physiology