The Lower Urinary Tract Dysfunction as a Challenge in Renal Transplantation

Abstract:
After the implementation of complex urological reconstructive procedures, kidney transplantation in patients with no functioning urinary bladder has become possible. However, patients with anatomical and/or functional dysfunction of the lower urinary tract (LUT) are a challenge for the renal transplant surgeons. In patients with LUT, the native bladder may be suitable for transplantation, otherwise intestinal reconstruction or diversion may be required. Type of urinary diversion is priorly determined by patient’s general condition, disease-specific health state, and his/her expectations for a better quality of life. Kidney transplant drainage into an ileal conduit for urinary diversion is an effective treatment for patients with end stage renal disease due to abnormal lower urinary tracts. The long-term graft and patient survival is comparable to that in the general transplant population.

Authors:
Monika Bieniasz, Magdalena Kwapisz, Rafal Kieszek, Kalina Jedrzejko, Artur Kwiatkowski

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