Value of the Voiding Cystourethrography Prior to Renal Transplantation.
- Author:
Jae Hun CHO
;
Tae Gyun KWON
;
Sae Kook CHANG
- Publication Type:Original Article
- Keywords:
Renal transplantation;
Voiding cystourethrography;
VUR
- MeSH:
Follow-Up Studies;
Humans;
Incidence;
Kidney Transplantation*;
Medical Records;
Physical Examination;
Postoperative Complications;
Retrospective Studies;
Urinary Tract;
Urologic Diseases;
Vesico-Ureteral Reflux
- From:Korean Journal of Urology
2001;42(2):195-198
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A retrospective review of the medical records of 168 patients who were evaluated for renal transplantation was undertaken to determine whether a voiding cystourethrography (VCUG) influenced the surgi cal care of the recipient. MATERIALS AND METHODS: Between June 1989 to May 1998, 168 patients received a transplantation at our center. These patients proceeded to transplantation, with all of them receiving a VCUG as part of their evaluation. We compared incidence of postoperative complications between normal VCUG group and abnormal group during follow up period (mean 31. 6 months). RESULTS: An urologic abnormality was identified by VCUG in 15 (8.9%) of 168 patients and all of them were vesicoureteral reflux (VUR). In 15 patients with VUR, grade of VUR were grade I in 2, grade II in 10, grade III in 2 and grade IV in 1. None of them with VUR required surgical intervention and had postoperative complications related to VUR. CONCLUSIONS: The VCUG is not essential for the preparation of potential recipients for renal transplantation and should be utilized selectively in individuals with a history of urologic disease or when urinary tract abnormalities are identified by physical examination or an abnormal urine analysis.
