Kidney transplants in patients with bladder augmentation: correlation and evolution.
OBJECTIVE
To review the literature, analyse the evolution of kidney transplants (KT) in patients with bladder augmentation (BA) and investigate the relation between BA and KT.


METHODS
Six patients with a history of severe lower urinary tract dysfunction and BA, received a KT at our Unit between 1993 and 2003. Three had moderate renal failure at the moment of the BA. The remaining three had end stage renal failure.


RESULTS
With a follow-up of 7 years (mean) we have a patient survival of 100% and a graft survival of 83%. No complications occurred between the BA and the KT. The few KT complications were not related to BA.


CONCLUSIONS
When a bladder dysfunction is present, it should be treated before KT. In noncompliant bladders, BA is the best treatment. This can be done to try to avoid end stage renal failure or only to prepare the lower urinary tract for reception of the transplant. The presence of a BA did not worsen the evolution of the KT.
Garat
Jose Maria
JM
Urology, Fundacio Puigvert, Cartagena, 340-350, Barcelona 08025, Spain. jgarat@fundacio-puigvert.es
Caffaratti
Jorge
J
Angerri
Oriol
O
Bujons
Anna
A
Villavicencio
Humberto
H
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D012307:Risk Factors; D001745:Urinary Bladder Diseases / Q000601:surgery*; D055815:Young Adult