title: En-bloc pediatric kidney transplantation together with a partial bladder segment: a case report.
abstract: There is a continuing debate about the techniques of kidney transplantation from small donors because of the high vascular thromboses and ureteric leak rates. Transplantation of en-bloc pediatric kidneys with a partial bladder segment has potential benefits over established techniques. We transplanted cadaveric en-bloc kidneys together with a partial bladder segment from a 1.5-year-old donor to a 12-year-old boy with end-stage renal disease due to vesicoureteral reflux (VUR) of a solitary kidney. En-bloc kidneys were transplanted together with both ureters and a partial bladder segment. Using donor bladder segment augmented the recipient bladder. Thereby, potential complications of bilateral ureteroneocystostomies of small ureters were avoided. During the following 12 months, the clinical course was normal and there was no evidence of VUR. In conclusion, the technique of using en-bloc pediatric kidneys together with a partial bladder segment is feasible and safe as well as an efficient procedure to preserve the natural anti-reflux mechanism in childhood.
authors.affiliation: Department of Transplantation, Izmir Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Dogan
authors.forename: Cem
authors.initials: C
authors.lastname: Tugmen
authors.forename: Eyup
authors.initials: E
authors.lastname: Kebapci
authors.forename: Umit
authors.initials: U
authors.lastname: Yildirim
authors.forename: Cezmi
authors.initials: C
authors.lastname: Karaca
authors.forename: Caner
authors.initials: C
authors.lastname: Alparslan
authors.forename: Onder
authors.initials: O
authors.lastname: Yavascan
authors.forename: Nejat
authors.initials: N
authors.lastname: Aksu
mesh_terms: D002102:Cadaver; D002648:Child; D006801:Humans; D007223:Infant; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D014019:Tissue Donors; D001743:Urinary Bladder / Q000637:transplantation*