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Outcome of Renal Transplantation after Urinary Diversion and Enterocystoplasty: A Retrospective, Controlled Study

1990; Lippincott Williams & Wilkins; Volume: 144; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(17)39737-9

1527-3792

Donald H. Nguyen, Yuri Reinberg, Ricardo González, David S. Fryd, John S. Najarian,

Organ Donation and Transplantation

No AccessJournal of Urology1 Dec 1990Outcome of Renal Transplantation after Urinary Diversion and Enterocystoplasty: A Retrospective, Controlled Study Donald H. Nguyen, Yuri Reinberg, Ricardo Gonzalez, David Fryd, and John S. Najarian Donald H. NguyenDonald H. Nguyen , Yuri ReinbergYuri Reinberg , Ricardo GonzalezRicardo Gonzalez , David FrydDavid Fryd , and John S. NajarianJohn S. Najarian View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)39737-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A total of 17 patients with intestinal urinary diversion or enterocystoplasty underwent renal transplantation between 1970 and 1988. Patient age ranged from 4 to 35 years (mean age 20 years). The patients were divided into 2 groups. In group 1 (10 patients, 2 of whom required retransplantation) the ureter of the transplanted kidney was implanted into an ileal (7) or colonic (1) conduit or enterocystoplasty (2). In group 2 (7 patients, 1 of whom required a second transplant) the diversion was taken down and the transplanted ureter was implanted into the defunctionalized bladder. There were 14 living related and 6 cadaveric kidneys transplanted. Graft survival rates were 58 and 87% in groups 1 and 2, respectively, with an over-all rate of 70% (14 of 20 kidneys). There was no statistical difference in the graft survival rate between the 2 groups. The complications in group 1 included ureteroileal anastomotic leak (3 patients), ureteroileal stenosis (1), calculus formation (1), urosepsis (1), hyperchloremic metabolic acidosis (1), and wound infection and dehiscence (1). There were no complications in group 2. Renal transplantation into a pre-existing urinary intestinal conduit or augmented bladder does not statistically adversely affect patient or graft survival. However, the complication rate is much higher when the ureter is implanted into an intestinal segment. Therefore, it is preferable whenever possible to implant the ureter into the native bladder. © 1990 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySURANGE R, JOHNSON R, TAVAKOLI A, PARROTT N, RIAD H, CAMPBELL B and AUGUSTINE T (2018) Kidney Transplantation Into an Ileal Conduit: A Single Center Experience of 59 CasesJournal of Urology, VOL. 170, NO. 5, (1727-1730), Online publication date: 1-Nov-2003.GONZÁLEZ R, De FILIPPO R, JEDNAK R and BARTHOLD J (2018) URETHRAL ATRESIA: LONG-TERM OUTCOME IN 6 CHILDREN WHO SURVIVED THE NEONATAL PERIODJournal of Urology, VOL. 165, NO. 6 Part 2, (2241-2244), Online publication date: 1-Jun-2001.MARTÑ M, CASTRO S, CASTELO L, ABAL V, RODRÍGUEZ J and NOVO J (2018) ENTEROCYSTOPLASTY AND RENAL TRANSPLANTATIONJournal of Urology, VOL. 165, NO. 2, (393-396), Online publication date: 1-Feb-2001.Gonzalez R (2018) Editorial: Renal Transplantation Into Abnormal BladdersJournal of Urology, VOL. 158, NO. 3, (895-896), Online publication date: 1-Sep-1997.Sheldon C, Gonzalez R, Burns M, Gilbert A, Buson H and Mitchell M (2018) Renal Transplantation into the Dysfunctional Bladder: The Role of Adjunctive Bladder ReconstructionJournal of Urology, VOL. 152, NO. 3, (972-975), Online publication date: 1-Sep-1994.Zaragoza M, Ritchey M, Bloom D and McGuire E (2018) Enterocystoplasty in Renal Transplantation Candidates: Urodynamic Evaluation and OutcomeJournal of Urology, VOL. 150, NO. 5 Part 1, (1463-1466), Online publication date: 1-Nov-1993. Volume 144Issue 6December 1990Page: 1349-1351 Advertisement Copyright & Permissions© 1990 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Donald H. Nguyen More articles by this author Yuri Reinberg More articles by this author Ricardo Gonzalez More articles by this author David Fryd Current address: Schneider Inc. (USA), 2906 Northwest Blvd., Minneapolis, Minnesota 55441. More articles by this author John S. Najarian More articles by this author Expand All Advertisement PDF downloadLoading ...