Renal transplantation in patients with an augmentation cystoplasty
Background : The effects of renal transplantation in patients with augmentation cystoplasty are still controversial. We retrospectively analyzed nine patients who underwent renal transplantation after augmentation cystoplasty. Methods : A total of nine patients who underwent augmentation cystoplast...
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| Format: | Article |
| Language: | English |
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Korean Society for Transplantation
2020-12-01
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| Series: | Korean Journal of Transplantation |
| Subjects: | |
| Online Access: | http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.20.0046 |
| _version_ | 1797370063765897216 |
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| author | Jin Sun Choi Hyunmin Ko Hyo Kee Kim Chris Chung Ahram Han Seung-Kee Min Jongwon Ha Sangil Min |
| author_facet | Jin Sun Choi Hyunmin Ko Hyo Kee Kim Chris Chung Ahram Han Seung-Kee Min Jongwon Ha Sangil Min |
| author_sort | Jin Sun Choi |
| collection | DOAJ |
| description | Background : The effects of renal transplantation in patients with augmentation cystoplasty are still controversial. We retrospectively analyzed nine patients who underwent renal transplantation after augmentation cystoplasty.
Methods : A total of nine patients who underwent augmentation cystoplasty prior to renal transplantation between January 1990 and May 2020 were reviewed. Basic information on augmentation cystoplasty, transplant procedures, and long-term outcomes of renal transplantation were analyzed.
Results : The bowel segments utilized for augmentation cystoplasty were the stomach in two patients (one patient needed revision using the ileum), the ileum in four patients, the ileocolic pouch in one patient, the sigmoid in one patient, and the ureter in one patient. All the cystoplasties were performed prior to renal transplantation. The mean follow-up period after transplantation was 161 months (range, 2–341 months). Two patients had an episode of acute rejection each; however, their graft functions were well-maintained. Five patients had recurrent urinary tract infections, and three of these patients progressed to allograft failure. One patient died from bladder cancer with a functioning graft. Five of nine patients showed well-maintained graft function.
Conclusions: Renal transplantation after bladder augmentation surgery is a major operation requiring a high level of surgical skill. Based on our long-term experiences, we recommend diligent postoperative monitoring for urinary tract infections, optimal catheter use, and use of appropriate antibiotic prophylaxis to avoid severe complications. |
| first_indexed | 2024-03-08T17:55:58Z |
| format | Article |
| id | doaj.art-2c9c3f3aed8644dd907cbbd9c220511f |
| institution | Directory Open Access Journal |
| issn | 2671-8790 |
| language | English |
| last_indexed | 2024-03-08T17:55:58Z |
| publishDate | 2020-12-01 |
| publisher | Korean Society for Transplantation |
| record_format | Article |
| series | Korean Journal of Transplantation |
| spelling | doaj.art-2c9c3f3aed8644dd907cbbd9c220511f2024-01-02T04:34:13ZengKorean Society for TransplantationKorean Journal of Transplantation2671-87902020-12-0134423824310.4285/kjt.20.0046kjt.20.0046Renal transplantation in patients with an augmentation cystoplastyJin Sun Choi0Hyunmin Ko1Hyo Kee Kim2Chris Chung3Ahram Han4Seung-Kee Min5Jongwon Ha6Sangil Min7Department of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaBackground : The effects of renal transplantation in patients with augmentation cystoplasty are still controversial. We retrospectively analyzed nine patients who underwent renal transplantation after augmentation cystoplasty. Methods : A total of nine patients who underwent augmentation cystoplasty prior to renal transplantation between January 1990 and May 2020 were reviewed. Basic information on augmentation cystoplasty, transplant procedures, and long-term outcomes of renal transplantation were analyzed. Results : The bowel segments utilized for augmentation cystoplasty were the stomach in two patients (one patient needed revision using the ileum), the ileum in four patients, the ileocolic pouch in one patient, the sigmoid in one patient, and the ureter in one patient. All the cystoplasties were performed prior to renal transplantation. The mean follow-up period after transplantation was 161 months (range, 2–341 months). Two patients had an episode of acute rejection each; however, their graft functions were well-maintained. Five patients had recurrent urinary tract infections, and three of these patients progressed to allograft failure. One patient died from bladder cancer with a functioning graft. Five of nine patients showed well-maintained graft function. Conclusions: Renal transplantation after bladder augmentation surgery is a major operation requiring a high level of surgical skill. Based on our long-term experiences, we recommend diligent postoperative monitoring for urinary tract infections, optimal catheter use, and use of appropriate antibiotic prophylaxis to avoid severe complications.http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.20.0046kidney transplantation; bladder augmentation; cystoplasty |
| spellingShingle | Jin Sun Choi Hyunmin Ko Hyo Kee Kim Chris Chung Ahram Han Seung-Kee Min Jongwon Ha Sangil Min Renal transplantation in patients with an augmentation cystoplasty Korean Journal of Transplantation kidney transplantation; bladder augmentation; cystoplasty |
| title | Renal transplantation in patients with an augmentation cystoplasty |
| title_full | Renal transplantation in patients with an augmentation cystoplasty |
| title_fullStr | Renal transplantation in patients with an augmentation cystoplasty |
| title_full_unstemmed | Renal transplantation in patients with an augmentation cystoplasty |
| title_short | Renal transplantation in patients with an augmentation cystoplasty |
| title_sort | renal transplantation in patients with an augmentation cystoplasty |
| topic | kidney transplantation; bladder augmentation; cystoplasty |
| url | http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.20.0046 |
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