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Fate of Dysfunctional Bladder after Pediatric Renal Transplantation


Affiliations
1 Lecturer of Urology, Minia Urology & Nephrology University Hospital, Faculty of Medicine, Minia University, Egypt
2 Associate Professor of Urology, Division of Pediatric Urology,Minia Urology & Nephrology University Hospital, Faculty of Medicine, Minia University, Egypt
3 Professor of Urology, Dean of Urology Department, Minia Urology & Nephrology University Hospital, Faculty of Medicine, Minia University, Egypt
4 Professor of Pediatrics, Division of Pediatric Nephrology, Dean of Pediatric Renal Transplantation Unit, Aboul-Riche Children’s Hospital, Cairo University, Cairo, Egypt
5 Professor of Urology, Division of Pediatric Urology, Aboul-Riche Children’s Hospital, Cairo University, Cairo, Egypt
     

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Introduction: Graft function on long term into patients with LUTD is still a myth, So, we aimed know the natural history of LUTD and graft function into patient with abnormal lower urinary tract. Patient and Method: The study was conducted by retrospective review of 129 files of pediatric live renal transplant patients;Patients in either group had clinical evaluation of lower urinary tract function and assessment of graft functions at least one year after RT. Results: On evaluation the magnitude of change of cystometric variables we found 57% improvement of incidence of urodynamic detrusor overactivity and 48% improvement in patient categorized as poor/ decreased compliance. There was 90% increase in the number of patients with adequate capacity. Patients showed 55.5% decrease in the number of patient with high PVR. Conclusion: Live donor renal transplant into pediatric patients with LUTD due to organic or neurogenic lower urinary tract pathology showed high serum creatinine on long term follow up.

Keywords

ESRD - Follow up - Serum creatinine
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  • Fate of Dysfunctional Bladder after Pediatric Renal Transplantation

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Authors

A.M. Fawzy
Lecturer of Urology, Minia Urology & Nephrology University Hospital, Faculty of Medicine, Minia University, Egypt
Ehab Tawfiek
Associate Professor of Urology, Division of Pediatric Urology,Minia Urology & Nephrology University Hospital, Faculty of Medicine, Minia University, Egypt
A. Zaki
Professor of Urology, Dean of Urology Department, Minia Urology & Nephrology University Hospital, Faculty of Medicine, Minia University, Egypt
Hani Morsi
Professor of Pediatrics, Division of Pediatric Nephrology, Dean of Pediatric Renal Transplantation Unit, Aboul-Riche Children’s Hospital, Cairo University, Cairo, Egypt
Fatina Ibrahim
Professor of Urology, Division of Pediatric Urology, Aboul-Riche Children’s Hospital, Cairo University, Cairo, Egypt

Abstract


Introduction: Graft function on long term into patients with LUTD is still a myth, So, we aimed know the natural history of LUTD and graft function into patient with abnormal lower urinary tract. Patient and Method: The study was conducted by retrospective review of 129 files of pediatric live renal transplant patients;Patients in either group had clinical evaluation of lower urinary tract function and assessment of graft functions at least one year after RT. Results: On evaluation the magnitude of change of cystometric variables we found 57% improvement of incidence of urodynamic detrusor overactivity and 48% improvement in patient categorized as poor/ decreased compliance. There was 90% increase in the number of patients with adequate capacity. Patients showed 55.5% decrease in the number of patient with high PVR. Conclusion: Live donor renal transplant into pediatric patients with LUTD due to organic or neurogenic lower urinary tract pathology showed high serum creatinine on long term follow up.

Keywords


ESRD - Follow up - Serum creatinine



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F195027