32 patients with the chronic renal failure treated by the periodical hemodialysis (male: 11, female: 21, average age (45)). A study aimed to evaluate the surgery for A-V fistula to make the entry to vascular which supplies fully the blood for hemodialysis. The results have shown that the rate of the complications (infection, bleeding, embolism, vasculitis; cardiac failure) was low, the technique supplied fully the blood flow (180 - 300 ml/h) and facilitate the hemodialysis process.
Kidney Failure, Chronic ; surgery ; fistula

33 cases of renal calculus received opene surgery for pyelonephrolithotomy (the operative procedres described by L.Q. Cat and N.B. Trieu - 1971, Resnick. M.I.1981) in Urology Department of hospital Viet Duc and hospital No 103. Renal function was determined with serum, blood ure nitrogen (BUN), creatinine and creatinine clearance. Creatinine clearance was calculated up on equations of Cockroft and Gault (1976). Author compared renal function preoperatively and postoperatively (5 -7 days). There was no significant difference in serum ure nitrogen (BUN), creatinin (n= 33) between preoperative and post operative (p>0.05). There was significant in creatinine clearance postoperation (p < 0.05).
Kidney Calculi ; Kidney Failure, Chronic ; surgery ; therapeutics

Humans ; Kidney Failure, Chronic ; prevention & control ; surgery ; Kidney Transplantation

Adult ; Humans ; Hypertension ; surgery ; Kidney ; innervation ; Kidney Failure, Chronic ; surgery ; Male ; Sympathectomy ; methods

Advanced chronic kidney disease is associated with impaired spermatogenesis and testicular damage. Semen analysis typically shows a decreased volume of ejaculate, oligo- or complete azoospermia, and a low percentage of motile sperm. Erectile dysfunction (ED) is also common in patients with chronic renal failure (CRF) and is observed in excess of 50% of these patients. There have been ongoing improvements in survival and quality of life after renal transplantation. One of the most impressive aspects of successful renal transplantation in the young people is the ability of the male patient to father a child. In this article we first review pathophysiology of reproductive failure in end-stage renal disease (ESRD), then ED in ESRD and its management are discussed, finally sexual function in renal transplant patients and management of ED in these patients are reviewed.
Erectile Dysfunction ; therapy ; Humans ; Kidney Failure, Chronic ; physiopathology ; surgery ; Kidney Transplantation ; Male ; Reproduction

No abstract available.
Adolescent ; Adult ; Comparative Study ; Female ; Hemodynamics* ; Human ; Hypertension/etiology* ; Hypertension/physiopathology ; Kidney Failure, Chronic/physiopathology* ; Kidney Failure, Chronic/surgery ; Kidney Transplantation ; Male ; Middle Age ; Nephrectomy

Brain Abscess ; surgery ; Epilepsy ; etiology ; Humans ; Kidney Failure, Chronic ; complications ; Male ; Middle Aged ; Recurrence

The combination of idiopathic thrombocytopenic purpura (ITP) and chronic renal failure (CRF) is uncommon. This report highlights a case of renal transplantation in a patient with ITP. A 35-year-old man with ITP was admitted with uremic symptoms. A renal transplant and splenectomy was simultaneously performed. A prophylactic pneumococcous vaccination was performed and intravenous immunoglobulin (1 g/kg) was administered before and after the operation. The patient's platelet count increased gradually after the splenectomy. During a two-year follow up period, the graft function was well maintained. Renal transplantation in a patient with ITP is recommended with a well-designed strategy to prevent potential complications.
Adult ; Glomerulonephritis, IGA/complications ; Humans ; Kidney Failure, Chronic/*complications/etiology/*surgery ; *Kidney Transplantation ; Male ; Purpura, Thrombocytopenic, Idiopathic/*complications

OBJECTIVE: To investigate the outcome of the kidney transplant recipients with different grades and stages of chronic hepatitis B virus after receiving renal transplantation for 3 years. METHODS: Thirty nine cases of kidney transplant recipients with hepatitis B virus and 20 cases of kidney transplant recipients (control group) between August 2000 and February 2002 were studied. Before the transplantation, the patients were divided into 4 groups: the mild hepatitis group (Group A, n = 8), the middle hepatitis group (Group B, n = 6), the severe hepatitis group (Group C, n =5) according to pathological diagnosis by percutaneous liver biopsy, and the control group (Group D). During the 3 year follow-up, the serum creatinine, alanine aminotransferase, g-Glutamyl transferase (GGT), total bilirubin, direct bilirubin, prothrombin time, cyclosporine trough concentration, urinary protein excretion, the HBV markers, HBV-DNA, albumin (A), globulin (G), the hepatic fibrosis markers and Child-Pugh score were studied at intervals. All patients received ultrasound examination every year. Two patients received repeated liver biopsy at the end of the follow-up in the hepatitis groups. RESULTS: The outcome of Group A and Group D was fine. In Group B, GGT level was significantly elevated (P < 0.05) sixth months after the operation, the Child-Pugh score of 2 patients were B, the liver pathohistological changes in another 2 patients were in severe stage in the endpoint. In Group C, GGT values had higher base-line (P <0.01) during the follow-up. Albumin were lower and globulin were higher than normal at the beginning of the 24th month. At the end of the follow-up, the Child-Pugh scores of all patients were B or C (B = 3, C = 2), 4 patients had end-stage cirrhosis, one died of hepatic cancer and the survival rate was 40% in Group C. CONCLUSION The outcome of the 3 groups is different. The pathohistological diagnosis by liver biopsy is important for patient selection receiving renal transplantation.
Adult ; Aged ; Female ; Follow-Up Studies ; Hepatitis B, Chronic ; complications ; surgery ; Humans ; Kidney Failure, Chronic ; complications ; surgery ; Kidney Transplantation ; Male ; Middle Aged ; Prospective Studies ; Treatment Outcome

Kidney transplantation is the preferred treatment for eligible end-stage renal disease patients. However, the supply of donated kidneys has been consistently insufficient to meet the transplantation requirements of the population. In this paper, I discuss the feasibility of several policy options that engage potential donors or key individuals in a Singapore context, including financial and non-financial incentives for deceased/living organ donors and their families, improving actualisation rates of both donation after brain death, donation after cardiac death through quality improvement programmes and remuneration schemes, and a media platform for directed organ donation. I conclude by highlighting the most feasible policies to be considered.
Altruism ; Health Policy ; Humans ; Kidney ; surgery ; Kidney Failure, Chronic ; surgery ; Kidney Transplantation ; methods ; Living Donors ; Nephrectomy ; Quality Improvement ; Singapore ; Tissue Donors ; Tissue and Organ Harvesting ; Tissue and Organ Procurement