title: Outcome of renal transplant in patients with abnormal urinary tract.
abstract: OBJECTIVE
  To determine whether surgical procedures of the lower urinary tract in patients with uropathies affect evolution of the graft in renal transplantation.
  
  
  METHODS
  156 kidney transplantations were performed in 150 patients with end-stage renal failure due to urologic disorders. The patients were classified into three groups: A, patients who did not require surgery in the lower urinary tract; B, required surgery and preserved adequate bladder function, and C, required surgery due to vesical dysfunction.
  
  
  RESULTS
  Graft survival rates at 1 year were 93.38% in group A, 95.45% in group B and 93% in group C. Rates at 5 years post-transplantation were 82.45, 79.85 and 86.58% for each group, respectively (not significant). Complications were vesicoureteral stenosis: 2 in group A, 3 in B and 1 in C; vesicoureteral reflux: 1 in group A, 1 in B and 10 in C; distal ureteral necrosis: 2 cases in group A, 2 in B and 1 in C; upper urinary tract infection: 12, 23.1 and 42.2% in each group, respectively.
  
  
  CONCLUSIONS
  Children with reconstructed urinary tract may be good candidates for kidney transplantation despite the higher frequency of urinary infections. Thus, careful and strict post-surgical urologic follow-up is mandatory.
authors.affiliation: Urology Department, Hospital de Pediatría Dr. Juan P. Garrahan, Buenos Aires, Argentina. cristian.sager@gmail.com
authors.forename: Cristian
authors.initials: C
authors.lastname: Sager
authors.forename: Carol
authors.initials: C
authors.lastname: Burek
authors.forename: Víctor
authors.initials: V
authors.lastname: Durán
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Corbetta
authors.forename: Santiago
authors.initials: S
authors.lastname: Weller
authors.forename: Enrique
authors.initials: E
authors.lastname: Paz
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: López
mesh_terms: D002648:Child; D005260:Female; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D014570:Urologic Diseases / Q000150:complications / Q000601:surgery*
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