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Long-term clean intermittent self-catheterization in renal transplant recipients
The Journal of Urology
|October 1, 1985
Summary
Clean intermittent self-catheterization is a viable option for renal transplant recipients with bladder issues, offering a good alternative to urinary diversion. This method showed success in managing lower urinary tract dysfunction post-transplant.
Area of Science:
- Nephrology
- Urology
- Transplantation Medicine
Background:
- Neurogenic bladders and lower urinary tract dysfunction pose challenges in renal transplant recipients.
- Traditional management often involves urinary diversion, which can have complications.
Purpose of the Study:
- To evaluate the efficacy and safety of clean intermittent self-catheterization (CISC) as an alternative to urinary diversion in renal transplant recipients.
- To assess the long-term outcomes of CISC in this patient population.
Main Methods:
- Retrospective review of eight renal transplant recipients.
- Management with CISC instead of urinary diversion post-transplantation.
- Analysis of 85 treatment months.
Main Results:
- Five patients continued to do well with CISC for 10 to 17 months.
- Three patients experienced immunological graft failures during the study period.
- CISC was successfully implemented in selected patients.
Conclusions:
- Clean intermittent self-catheterization is a reasonable alternative to urinary diversion for selected renal transplant recipients with lower urinary tract dysfunction.
- CISC can be effectively managed post-transplantation, with a notable proportion of patients maintaining graft function.