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Ileocecocystoplasty bladder augmentation and renal transplantation
M G Barnett1, R C Bruskewitz, F O Belzer
1Department of Surgery, University of Wisconsin School of Medicine, Madison 53792.
The Journal of Urology
|October 1, 1987
Summary
Ileocecocystoplasty bladder augmentation combined with renal transplantation offers a viable solution for end-stage renal failure patients with small contracted bladders. This approach demonstrated stable renal and bladder function post-transplant, suggesting it as an alternative to urinary diversion.
Area of Science:
- Urology
- Nephrology
- Transplantation Surgery
Background:
- Patients with end-stage renal failure often present with small contracted bladders, complicating management.
- Urinary diversion is a common but invasive approach for such cases.
Observation:
- This study evaluated ileocecocystoplasty bladder augmentation in four patients undergoing renal transplantation.
- The procedure was performed concurrently with kidney transplantation.
Findings:
- All four patients maintained stable renal function post-transplantation.
- Stable bladder function was observed in all patients between 13 and 46 months after transplantation.
Implications:
- Ileocecocystoplasty bladder augmentation may serve as a valuable alternative to urinary diversion in select patients.
- This combined approach shows promise for improving quality of life in patients with end-stage renal disease and bladder dysfunction.