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Related Experiment Videos

Renal transplantation into the reconstructed bladder.

J V Thomalla1, M E Mitchell, S B Leapman

  • 1Department of Surgery, Indiana University Medical Center, Indianapolis.

The Journal of Urology
|February 1, 1989
PubMed
Summary

Renal transplantation combined with enterocystoplasty offers a viable option for urinary diversion in select patients, demonstrating acceptable outcomes for graft function and patient recovery.

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Area of Science:

  • Urology
  • Nephrology
  • Transplantation Surgery

Background:

  • Urinary diversion is a critical consideration in renal transplant recipients.
  • Traditional methods may carry significant risks or complications.
  • The use of enterocystoplasty as a bladder substitute warrants investigation in this context.

Purpose of the Study:

  • To evaluate the outcomes of renal transplantation when combined with enterocystoplasty for urinary diversion.
  • To assess the morbidity and graft survival rates in patients undergoing this combined procedure.

Main Methods:

  • Retrospective review of 821 renal transplant cases performed between 1974 and October 1987.
  • Analysis of 8 patients who underwent enterocystoplasty (7 before and 1 after renal transplantation).

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  • Assessment of graft function and patient follow-up.

    • Main Results:

    • Four out of 8 patients (50%) had functioning renal grafts at 6 months to 7 years post-transplant or reconstruction.
    • The combined procedure demonstrated acceptable morbidity in properly selected patients.

    Conclusions:

    • Renal transplantation coupled with enterocystoplasty is a feasible alternative for urinary diversion in allograft recipients.
    • Careful patient selection is crucial for successful outcomes.
    • This approach should be considered alongside other urinary diversion techniques.