title: Ureterocystoplasty (bladder augmentation) with a solitary kidney.
abstract: Children who develop end-stage renal disease (ESRD) as a result of obstructive uropathies require evaluation and treatment of associated bladder dysfunction to ensure a good outcome following renal transplantation. Bladder dynamics can often be optimized medically, although surgical intervention is occasionally necessary. For those patients who require bladder augmentation, the use of a dilated native ureter (ureterocystoplasty) is preferred to the more commonly used intestine or stomach (enterocystoplasty), which carry a higher risk of complications. Unfortunately, most patients do not have a suitable anatomy for ureterocystoplasty and, by necessity, intestine or stomach has to be utilized. Herein, we describe the successful application of ureterocystoplasty in the presence of ESRD and a solitary kidney prior to renal transplantation. We believe that owing to the many advantages of native urothelium, every effort should be made to use ureter and avoid the use of intestine.
authors.affiliation: Department of Urology, University of California, Davis Children's Hospital, Sacramento, California 95817, USA.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Kurzrock
authors.forename: Lavjay
authors.initials: L
authors.lastname: Butani
authors.forename: Sudesh P
authors.initials: SP
authors.lastname: Kakker
authors.forename: Richard V
authors.initials: RV
authors.lastname: Perez
mesh_terms: D002675:Child, Preschool; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D014513:Ureter / Q000637:transplantation*; D001743:Urinary Bladder / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000151:congenital / Q000601:surgery*