Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?

The kidney transplantation surgery requires left nephrectomy because of the anatomical disadvantages. But hydroureteronephrosis is the most significant renal functional alteration of pregnancy, accounted for by both hormonal and mechanical factors. Dilatation of the ureters and renal pelvis is more...

Full description

Bibliographic Details
Main Authors: H K?ran, G K?ran, D Ar?kan, M Y�zba??o?lu, M Bakacak, � Ercan, B K�st�
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2015-10-01
Series:International Journal of Organ Transplantation Medicine
Subjects:
Online Access:http://www.ijotm.com/ojs/index.php/IJOTM/article/view/254
_version_ 1828409192722989056
author H K?ran
G K?ran
D Ar?kan
M Y�zba??o?lu
M Bakacak
� Ercan
B K�st�
author_facet H K?ran
G K?ran
D Ar?kan
M Y�zba??o?lu
M Bakacak
� Ercan
B K�st�
author_sort H K?ran
collection DOAJ
description The kidney transplantation surgery requires left nephrectomy because of the anatomical disadvantages. But hydroureteronephrosis is the most significant renal functional alteration of pregnancy, accounted for by both hormonal and mechanical factors. Dilatation of the ureters and renal pelvis is more prominent on the right side than the left side and is seen in up to 80% of pregnant women. A 23-year-old woman who become pregnant after 4 months from left kidney donation was admitted to our emergency department with acute right kidney injury during her 39th week of pregnancy. She did not response to conservative treatment and required emergency delivery because of the progressive increase in her serum creatinine levels. After delivery, progressive decrease at creatinine level had been observed and in one month, it had reached the normal level. Mother candidates should be advised they donate their kidneys after completing their childbearing if possible, or undergo right nephrectomy.
first_indexed 2024-12-10T11:51:13Z
format Article
id doaj.art-f55e1f037e844c78affc73bde02bf9be
institution Directory Open Access Journal
issn 2008-6482
2008-6490
language English
last_indexed 2024-12-10T11:51:13Z
publishDate 2015-10-01
publisher Shiraz University of Medical Sciences
record_format Article
series International Journal of Organ Transplantation Medicine
spelling doaj.art-f55e1f037e844c78affc73bde02bf9be2022-12-22T01:49:56ZengShiraz University of Medical SciencesInternational Journal of Organ Transplantation Medicine2008-64822008-64902015-10-0164195Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?H K?ran0G K?ran1D Ar?kan2M Y�zba??o?lu3M Bakacak4� Ercan5B K�st�6Department of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University, School of Medicine, Kahramanmara?, TurkeyDepartment of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University, School of Medicine, Kahramanmara?, TurkeyDepartment of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University, School of Medicine, Kahramanmara?, TurkeyDepartment of General Surgery and Transplantation Center, Sanko University School of Medicine, Gaziantep, TurkeyDepartment of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University, School of Medicine, Kahramanmara?, TurkeyDepartment of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University, School of Medicine, Kahramanmara?, TurkeyDepartment of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University, School of Medicine, Kahramanmara?, TurkeyThe kidney transplantation surgery requires left nephrectomy because of the anatomical disadvantages. But hydroureteronephrosis is the most significant renal functional alteration of pregnancy, accounted for by both hormonal and mechanical factors. Dilatation of the ureters and renal pelvis is more prominent on the right side than the left side and is seen in up to 80% of pregnant women. A 23-year-old woman who become pregnant after 4 months from left kidney donation was admitted to our emergency department with acute right kidney injury during her 39th week of pregnancy. She did not response to conservative treatment and required emergency delivery because of the progressive increase in her serum creatinine levels. After delivery, progressive decrease at creatinine level had been observed and in one month, it had reached the normal level. Mother candidates should be advised they donate their kidneys after completing their childbearing if possible, or undergo right nephrectomy.http://www.ijotm.com/ojs/index.php/IJOTM/article/view/254Kidney transplantationNephrectomyPregnancyHydronephrosis
spellingShingle H K?ran
G K?ran
D Ar?kan
M Y�zba??o?lu
M Bakacak
� Ercan
B K�st�
Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?
International Journal of Organ Transplantation Medicine
Kidney transplantation
Nephrectomy
Pregnancy
Hydronephrosis
title Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?
title_full Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?
title_fullStr Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?
title_full_unstemmed Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?
title_short Is the Left Kidney the Right One for Kidney Donation in Women Planning on Future Pregnancy?
title_sort is the left kidney the right one for kidney donation in women planning on future pregnancy
topic Kidney transplantation
Nephrectomy
Pregnancy
Hydronephrosis
url http://www.ijotm.com/ojs/index.php/IJOTM/article/view/254
work_keys_str_mv AT hkran istheleftkidneytherightoneforkidneydonationinwomenplanningonfuturepregnancy
AT gkran istheleftkidneytherightoneforkidneydonationinwomenplanningonfuturepregnancy
AT darkan istheleftkidneytherightoneforkidneydonationinwomenplanningonfuturepregnancy
AT myzbaolu istheleftkidneytherightoneforkidneydonationinwomenplanningonfuturepregnancy
AT mbakacak istheleftkidneytherightoneforkidneydonationinwomenplanningonfuturepregnancy
AT ercan istheleftkidneytherightoneforkidneydonationinwomenplanningonfuturepregnancy
AT bkst istheleftkidneytherightoneforkidneydonationinwomenplanningonfuturepregnancy