J Korean Med Sci.  2005 Feb;20(1):75-78. 10.3346/jkms.2005.20.1.75.

Clinical Characteristics of Renal Transplant Recipients that Underwent Urologic Surgery for de novo Disease Before and After Transplantation

• Bae KS
• Huh JS
• Kim YJ
• Chang SG

• KMID: 1781729
• DOI: http://doi.org/10.3346/jkms.2005.20.1.75

Abstract

The pre-transplantation goal of the urologist is the optimization of urinary tract condition. Therefore, urologic surgery may be needed before or after renal transplantation. We analyzed the results of urologic surgery performed because of de novo urologic diseases. Between January 1986 and January 2001, 281 patients underwent renal transplantation, and 23 urologic surgical procedures were performed on 21 transplant recipients before or after renal transplantation because of de novo urologic diseases. By review the major reasons for urologic surgery in recipients were polycystic kidney diseases, vesicoureteral reflux, and dysfunctional voiding disorders. Nineteen surgical corrective procedures were done average 2.9 months before transplantation. The mortality rate was 10.5%. Four patients underwent urologic surgery at an average 57.5 months after transplantation. We highlight the fact that patients with uremia are vulnerable to surgical complications, and conclude that more intensive longterm urologic follow-ups should be conducted on recipients.

Keyword

Kidney Transplantation; Urology; Abnormalities; Urologic Surgical Procedures

MeSH Terms

Adult
Child
Female
Follow-Up Studies
Humans
Kidney/abnormalities
Kidney Diseases/surgery/*therapy
Kidney Transplantation/*methods
Male
Middle Aged
Nephrectomy
Polycystic Kidney Diseases/pathology/therapy
Postoperative Complications
Preoperative Care
Research Support, Non-U.S. Gov't
Time Factors
Urologic Diseases/surgery
Urologic Surgical Procedures/*methods
Vesico-Ureteral Reflux/therapy