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Urinary Diversion in Renal Transplantation
Mohamed Eltemamy1, Alice Crane1, David A Goldfarb1
1Glickman Urological and Kidney Institute, Department of Urology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
The Urologic Clinics of North America
|November 25, 2017
Summary
Kidney transplantation in patients with urinary diversion is feasible, showing comparable long-term graft survival despite increased infectious complications. Careful surgical planning and preoperative assessment are crucial for successful outcomes in these unique renal transplant candidates.
Area of Science:
- Urology
- Nephrology
- Transplantation Surgery
Background:
- Renal transplantation in patients with altered urinary reservoirs presents unique surgical challenges.
- Historically, outcomes were considered inferior, leading to discouragement of these procedures.
Purpose of the Study:
- To evaluate the outcomes of kidney transplantation in patients with urinary diversion.
- To highlight the necessity of specialized surgical considerations for this patient cohort.
Main Methods:
- Review of recent studies comparing outcomes in renal transplant recipients with and without urinary diversion.
- Analysis of graft survival rates and complication profiles.
Main Results:
- Patients with urinary diversion experience more infectious complications post-transplant.
- Long-term graft survival in patients with urinary diversion is comparable to those with native anatomy.
Conclusions:
- Kidney transplantation is a viable option for patients with urinary diversion.
- Meticulous preoperative evaluation and tailored surgical techniques are essential for optimizing results in this population.
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