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Titolo:
RENAL-TRANSPLANTATION IN PATIENTS WITH NE UROGENIC BLADDER
Autore:
PEFAUR J; AGUILO J; SALINAS P; PINTO V; ZUBIETA R; MOCARQUER A; GAETE J; FIABANE A;
Indirizzi:
HOSP BARROS LUCO TRUDEAU,DEPT NEFROL,GRAN AVE 3204 SANTIAGO CHILE HOSP BARROS LUCO TRUDEAU,DEPT VASC PERIFER SANTIAGO CHILE UNIV CHILE,FAC MED SANTIAGO 7 CHILE HOSP EXEQUIEL GONZALEZ CORTES,DEPT NEFROL & UROL SANTIAGO CHILE
Titolo Testata:
Revista Medica de Chile
fascicolo: 5, volume: 124, anno: 1996,
pagine: 579 - 582
SICI:
0034-9887(1996)124:5<579:RIPWNU>2.0.ZU;2-P
Fonte:
ISI
Lingua:
SPA
Soggetto:
INTERMITTENT SELF-CATHETERIZATION; URINARY-TRACT DYSFUNCTION; RECIPIENTS; DIVERSION; CONDUITS;
Keywords:
BLADDER; NEUROGENIC; KIDNEY; TRANSPLANTATION; SURGERY; OPERATIVE; PROGNOSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
J. Pefaur et al., "RENAL-TRANSPLANTATION IN PATIENTS WITH NE UROGENIC BLADDER", Revista Medica de Chile, 124(5), 1996, pp. 579-582

Abstract

Background: Renal transplantation can be done in patients with neurogennic bladder and clean intermittent self catheterization maintains renal function. Aim: To retrospective assess the results of renal transplantation in patients with neurogenic bladder. Patients and methods: The medical records of seven patients aged 10 to 22 years old (3 female) followed during 7 to 32 months were reviewed. All patients had urinary tract infection prior to transplantation, were instructed on self catheterization and received tri-associated immunosuppression. Results:Grafts came from alive related donors in 5 patients and from cadaversin two. Prior to transplantation, three patients were subjected to nephrectomy and three to bladder enlargement, leaving a pigtail catheter. After transplantion, one lymphocele was drained, one uretherostomy due to an impacted lithiasis and one nephrectomy plus vesical enlargement due to intravesical pressures over 40 cm H2O, were done. One uretheral structure was treated with dilatation. Seven episodes of pyelonephritis, 19 urinary tract infections and 77 asymptomatic bacteriurias were documented. Serum creatinine at the end of follow up ranged from 0.7 to 2.1 mg/dl. There were 0.7 acute rejection episodes per patient and all grafts survived. Conclusions: Renal transplantation in patients with neurogenic bladder is fesible, performing a vesical enlargement. There is however a high frequency of infectious episodes.

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Documento generato il 12/07/20 alle ore 06:36:21