Kidney transplantation in patients with severe abnormal lower urinary tract (report of 3 cases)
- VernacularTitle:严重下尿路异常患者的肾移植(附三例报告)
- Author:
Changxi WANG
;
Liang ZHAO
;
Lizhong CHEN
;
Al ET
- Publication Type:Journal Article
- Keywords:
Kidney transplantation;
Abnormal lower urinary tract
- From:
Chinese Journal of Urology
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the surgical strategy and methods of kidney transplantation in patients with abnormal lower urinary tract. Methods Kidney transplantation was performed in 3 patients with abnormal lower urinary tract.Of them a 45 year old male recipient with tuberculous contracted bladder underwent cutaneous ureterostomy as kidney transplantation was conducted and then received immunosuppressive therapy of zenapax + tacrolimus (FK506) + mycophenolate mofetil (MMF) + steroid (Pred).The other 2 male patients with neurogenic bladder who were 24 and 34 years experienced kidney transplantation plus ileal conduit by one stage and by two stages,respectively.These 2 patients received immunosuppressive therapy of zenapax + FK506 + MMF + Pred and zenapax + CsA + MMF + Pred,respectively after transplantation. Results The patient who received ileal conduit by one stage experienced hematochezia and urinary fistula,which vanished after effective treatment.The rest 2 patients recovered smoothly.The functions of transplanted kidneys were satisfactory with no severe complications during follow up period. Conclusions The kidney transplantation and urinary diversion should be completed simultaneously or by stages depending on the conditions of the patients with abnormal lower urinary tract. The function of the transplanted kidney and the drainage of the ureter should be protected as much as possible.
