Clinical characteristics of renal transplant recipients that underwent urologic surgery for de novo disease before and after transplantation.
The pre-transplantation goal of the urologist is the optimization of urinary tract condition. Therefore, urologic surgery may be needed before or after renal transplantation. We analyzed the results of urologic surgery performed because of de novo urologic diseases. Between January 1986 and January 2001, 281 patients underwent renal transplantation, and 23 urologic surgical procedures were performed on 21 transplant recipients before or after renal transplantation because of de novo urologic diseases. By review the major reasons for urologic surgery in recipients were polycystic kidney diseases, vesicoureteral reflux, and dysfunctional voiding disorders. Nineteen surgical corrective procedures were done average 2.9 months before transplantation. The mortality rate was 10.5%. Four patients underwent urologic surgery at an average 57.5 months after transplantation. We highlight the fact that patients with uremia are vulnerable to surgical complications, and conclude that more intensive longterm urologic follow-ups should be conducted on recipients.
Bae
Kwan-Sik
KS
Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea.
Huh
Jung-Sik
JS
Kim
Young-Joo
YJ
Chang
Sung-Goo
SG
D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D007674:Kidney Diseases / Q000601:surgery / Q000628:therapy*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D007690:Polycystic Kidney Diseases / Q000473:pathology / Q000628:therapy; D011183:Postoperative Complications; D011300:Preoperative Care; D013997:Time Factors; D014570:Urologic Diseases / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods*; D014718:Vesico-Ureteral Reflux / Q000628:therapy
J Urol. 2001 Feb;165(2):393-6
11176380
J Urol. 1999 Jan;161(1):240-5
10037414
Clin Nephrol. 2002 Jul;58(1):16-24
12141402
J Nephrol. 2002 Jul-Aug;15(4):394-7
12243369
Am Fam Physician. 2002 Oct 15;66(8):1471-6, 1379
12408421
Semin Nephrol. 2002 Nov;22(6):459-73
12430090
Int Urogynecol J Pelvic Floor Dysfunct. 2002 Nov;13(6):383-5
12466911
Transplant Proc. 2003 May;35(3):1089-90
12947870
J Urol. 2004 Apr;171(4):1428-31
15017190
Transplantation. 2004 Apr 15;77(7):1113-6
15087783
Transplantation. 2004 Apr 15;77(7):1120-3
15087785
Transplantation. 2004 Apr 15;77(7):1123-7
15087786
Arch Surg. 1973 Aug;107(2):233-41
4578272
J Urol. 1976 May;115(5):490-3
775135
J Urol. 1990 Jun;143(6):1087-92
2188014
Urology. 1992 Apr;39(4):319-21
1373014
Urol Int. 1992;49(2):94-8
1441018
Am J Med Sci. 1998 Aug;316(2):94-104
9704663
Klin Khir. 2002 Jan;(1):37-9
11944295