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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

182
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
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Factors Affecting Renal Clearance: Renal Impairment01:17

Factors Affecting Renal Clearance: Renal Impairment

188
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
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Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

176
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
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Related Experiment Video

Updated: Oct 11, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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[Renal transplant recipient evaluation.]

María Loreto Parra López1, José María Lozano-Blasco1, Jerónimo Martínez-Rodríguez1

  • 1Unidad de Gestión Clínica de Urología y Nefrología. Unidad de Trasplante Renal y Cirugía Reconstructiva. Instituto de Biomedicina de Sevilla, IBIS/ Hospital Universitario Virgen del Rocío/CSIC/ Universidad de Sevilla. Sevilla. España.

Archivos Espanoles De Urologia
|December 1, 2021
PubMed
Summary

Pre-transplant urological evaluation is crucial for kidney transplant success. Urologists assess recipient conditions to prevent graft complications and ensure optimal surgical outcomes.

Keywords:
Cribado de tumores urológicosEstudio pre-trasplanteLower urinary tract obstructionNefrectomía pretrasplanteObstrucción del tracto urinario inferiorPre-transplant nephrectomyPre-transplant studyRenal transplantationTrasplante renalUrological tumour screening

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Last Updated: Oct 11, 2025

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Area of Science:

  • Urology
  • Nephrology
  • Transplant Surgery

Background:

  • Kidney transplant success hinges on comprehensive pre-transplant recipient evaluation.
  • Urologists play a vital role in multidisciplinary teams managing conditions that could compromise graft function and survival.

Purpose of the Study:

  • To outline critical urological aspects for pre-transplant assessment.
  • To guide urologists in evaluating recipient characteristics and potential risks.
  • To determine necessary pre-transplant surgeries and those to postpone.

Main Methods:

  • Review of critical pre-transplant urological considerations.
  • Assessment of recipient baseline characteristics (age, life expectancy, physical status).
  • Evaluation of bladder function, urinary tract obstruction, and urological pathologies.

Main Results:

  • Feasibility of renal transplantation technique based on recipient factors.
  • Adequacy of bladder function for urine storage and voiding.
  • Identification of treatable urinary flow obstructions.
  • Assessment of urological comorbidities impacting graft survival (functional, infectious, oncological).
  • Evaluation of aorto-iliac arteriosclerosis risk for arterial anastomosis.

Conclusions:

  • Pre-transplant urological evaluation must be tailored to individual recipient characteristics.
  • Specific pre-transplant surgeries are essential to mitigate risks and enhance graft survival.
  • Postponement of certain procedures may be necessary to optimize transplant outcomes.