Clinical Characteristics of Renal Transplant Recipients that Underwent Urologic Surgery for de novo Disease Before and After Transplantation.
10.3346/jkms.2005.20.1.75
- Author:
Kwan Sik BAE
1
;
Jung Sik HUH
;
Young Joo KIM
;
Sung Goo CHANG
Author Information
1. Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea. sgchang@khu.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Kidney Transplantation;
Urology;
Abnormalities;
Urologic Surgical Procedures
- MeSH:
Adult;
Child;
Female;
Follow-Up Studies;
Humans;
Kidney/abnormalities;
Kidney Diseases/surgery/*therapy;
Kidney Transplantation/*methods;
Male;
Middle Aged;
Nephrectomy;
Polycystic Kidney Diseases/pathology/therapy;
Postoperative Complications;
Preoperative Care;
Research Support, Non-U.S. Gov't;
Time Factors;
Urologic Diseases/surgery;
Urologic Surgical Procedures/*methods;
Vesico-Ureteral Reflux/therapy
- From:Journal of Korean Medical Science
2005;20(1):75-78
- CountryRepublic of Korea
- Language:English
-
Abstract:
The pre-transplantation goal of the urologist is the optimization of urinary tract condition. Therefore, urologic surgery may be needed before or after renal transplantation. We analyzed the results of urologic surgery performed because of de novo urologic diseases. Between January 1986 and January 2001, 281 patients underwent renal transplantation, and 23 urologic surgical procedures were performed on 21 transplant recipients before or after renal transplantation because of de novo urologic diseases. By review the major reasons for urologic surgery in recipients were polycystic kidney diseases, vesicoureteral reflux, and dysfunctional voiding disorders. Nineteen surgical corrective procedures were done average 2.9 months before transplantation. The mortality rate was 10.5%. Four patients underwent urologic surgery at an average 57.5 months after transplantation. We highlight the fact that patients with uremia are vulnerable to surgical complications, and conclude that more intensive longterm urologic follow-ups should be conducted on recipients.
