Pelvic reconstructive surgery in renal transplant recipients.
OBJECTIVE
Thousands of women undergo renal transplantation each year. Many develop pelvic floor conditions after transplantation requiring surgical correction. This study describes our experience with pelvic reconstructive surgery in renal transplant recipients.


METHODS
Retrospective chart review identified five renal transplant patients who had pelvic reconstructive surgery for urodynamic stress incontinence and prolapse between January 2000 and May 2008. Data included medical and surgical history, POP-Q measurements, and classification of perioperative complications.


RESULTS
The mean age was 56.5 years (range 50-70). A total of two vaginal hysterectomies with vault suspension, three anterior repairs, two posterior repairs, and three synthetic midurethral slings were performed. No intraoperative or postoperative complications occurred. At a mean follow-up of 12.6 months (range 4-36), all patients were cured of their prolapse and incontinence with no evidence for synthetic mesh infection, rejection, or erosion.


CONCLUSIONS
Pelvic reconstructive surgery can safely be performed in renal transplant patients.
Shveiky
David
D
Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Washington Hospital Center, 106 Irving St. NW, Washington, DC 20010, USA. David.Shveiky@medstar.net
Blatt
Adam
A
Sokol
Andrew I
AI
Nghiem
Huong G
HG
Iglesia
Cheryl B
CB
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal; D016030:Kidney Transplantation / Q000009:adverse effects; D008875:Middle Aged; D059952:Pelvic Floor Disorders / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*