Fate of renal allografts transplanted in patients with urinary diversion.
Publication/Presentation Date
10-1-1993
Abstract
Fifty-five kidneys were transplanted into 50 patients with supravesical urinary diversion at 16 transplant centers between 1970 and 1991. Of the 32 males and 18 females, 40 were adults (> or = 18 years) and 10 were less than 18 years old at the time of first transplant. Mean follow-up was 7.8 years. At last follow-up, 94% of recipients were alive and 73% of the kidneys were functioning. Fifteen kidneys were lost: 9 to rejection, 3 to noncompliance, and 3 patients died with a functioning kidney. Ten (18%) transplants were followed by surgical complications. Twenty-four (44%) were followed by medical complications of which urinary tract infection was most common. Recipients age 18 or younger had more urinary tract infections than older patients. No patient had urinary stones and no patient required medical treatment for metabolic abnormalities. We conclude that drainage of kidney transplants into a supravesical urinary diversion is an effective treatment for end-stage renal disease patients without adequate urinary bladders.
Volume
56
Issue
4
First Page
838
Last Page
842
ISSN
0041-1337
Published In/Presented At
Hatch, D. A., Belitsky, P., Barry, J. M., Novick, A. C., Taylor, R. J., Jordan, M. L., Sagalowsky, A. I., & Zaontz, M. R. (1993). Fate of renal allografts transplanted in patients with urinary diversion. Transplantation, 56(4), 838–842. https://doi.org/10.1097/00007890-199310000-00012
Disciplines
Medicine and Health Sciences
PubMedID
8212204
Department(s)
Department of Surgery
Document Type
Article