Related Experiment Videos
Enterocystoplasty and renal transplantation
M G Martín1, S N Castro, L A Castelo
1Department of Urology, Juan Canalejo Hospital, La Coruña, Spain.
The Journal of Urology
|February 15, 2001
Summary
Bladder augmentation before renal transplantation in patients with severe bladder contracture is a viable option. This procedure demonstrated excellent graft survival and improved patient continence, supporting its use in select cases.
Area of Science:
- Urology
- Nephrology
- Transplantation Surgery
Background:
- Severe chronic bladder contracture poses challenges for renal transplant candidates.
- Prior intestinal bladder augmentation is a potential solution for lower urinary tract dysfunction.
Purpose of the Study:
- To evaluate the safety and efficacy of renal transplantation following intestinal bladder augmentation in patients with severe bladder contracture.
- To assess graft survival and functional outcomes in this patient cohort.
Main Methods:
- Retrospective analysis of 7 patients with lower urinary tract alterations and renal insufficiency.
- Patients underwent enterocystoplasty using ileal conduit or ileocaecal segments prior to cadaveric renal transplantation.
- Etiologies included urinary tuberculosis, neurogenic bladder, chronic cystitis, and hyperreflexic bladder.
Main Results:
- 100% graft survival rate observed.
- Mean follow-up of 48 months with good graft function.
- 6 out of 7 patients achieved spontaneous voiding and continence; 1 required intermittent self-catheterization.
Conclusions:
- Intestinal bladder augmentation is an acceptable procedure for renal transplant candidates with lower urinary tract alterations.
- While not without complications, the technique facilitates successful renal transplantation and improves quality of life.
- This approach offers a valuable option for managing complex bladder dysfunction in end-stage renal disease patients.