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Kidney Transplantation Outcome in Patients With Augmented Bladder: A Single-Center Experience
Rahmi Gokhan Ekin1, Askin Eroglu2, Ebru Sevinc Ok3
1Department of Urology and Kidney Transplantation, Acibadem Healthcare Group, Kent Hospital, Izmir, Türkiye.
Transplantation Proceedings
|April 16, 2026
Summary
Kidney transplantation (KT) after bladder augmentation (BA) is feasible. Despite high rates of urinary tract infections, patients with augmented bladders achieved excellent long-term graft survival, demonstrating the procedure
Area of Science:
- Urology
- Transplantation Surgery
- Nephrology
Background:
- Kidney transplantation (KT) in patients with bladder augmentation (BA) is controversial.
- Concerns include infection, surgical complications, and graft survival.
Purpose of the Study:
- To evaluate the outcomes of KT in patients with prior BA.
- To assess graft survival and complication rates.
Main Methods:
- Retrospective analysis of 15 patients who underwent KT after BA (January 2010 - August 2025).
- Evaluation of demographics, urological diagnoses, augmentation type, surgical details, and post-transplant follow-up.
Main Results:
- Median interval from BA to KT: 176 months. Mean age at KT: 25.07 years.
- 93.3% living kidney donation rate. Mean follow-up: 98.9 months.
- 53.3% experienced febrile UTI, but no graft loss was infection-mediated. 20% had acute rejection. 1, 5, and 10-year graft survival rates were 100%, 90.9%, and 72.7%.
Conclusions:
- KT in patients with augmented bladders can achieve satisfactory long-term graft survival.
- Careful patient selection and management are crucial.
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