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Ureterocystoplasty is Safe and Effective in Patients Awaiting Renal Transplantation

      Objectives

      Surgical outcomes and bladder function were assessed in a group of patients who had undergone ureterocystoplasty while awaiting renal transplantation.

      Methods

      An observational cohort study was performed. A chart review was performed of 16 patients who had undergone ureterocystoplasty between 1997 and 2006. The postoperative assessment included measurement of bladder capacity and voiding cystourethrography findings.

      Results

      The median patient age at operation was 17 years (range, 3 to 44 years). The median follow-up was 38 months (range, 3 to 60 months). All patients achieved continence. The median increase in bladder capacity was 162 mL (range, 65 to 265 mL), representing a median proportional increase of 226% (range, 167% to 340%) of the original bladder capacity. None of the patients developed vesicoureteral reflux. Only 4 patients required subsequent intermittent catheterization to fully empty their bladders. Seven patients underwent renal transplantation within 3 to 7 months of ureterocystoplasty.

      Conclusions

      Ureterocystoplasty in patients awaiting renal transplantation is safe and effective. Good results can be achieved when care is taken to preserve the blood supply of the ureter. The results of this study have confirmed the desirability of preserving the ureters in patients awaiting transplantation who might require bladder augmentation.
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      References

        • Gough D.C.
        Enterocystoplasty.
        BJU Int. 2001; 88: 739-743
        • Eckstein H.B.
        • Martin M.R.R.
        Uretero-cystoplastik.
        Aktuel Urol. 1973; 4: 255-257
        • Bellinger M.F.
        Ureterocystoplasty: a unique method for vesical augmentation in children.
        J Urol. 1993; 149: 811-813
        • Churchill B.M.
        • Aliabadi H.
        • Landau E.H.
        • et al.
        Ureteral bladder augmentation.
        J Urol. 1993; 150: 716-720
        • Adams M.C.
        • Brock III, J.W.
        • Pope J.C.
        • et al.
        Ureterocystoplasty: is it necessary to detubularize the distal ureter?.
        J Urol. 1998; 160: 851-853
        • Bellinger M.F.
        Ureterocystoplasty update.
        World J Urol. 1998; 16: 251-254
        • Cilento Jr, B.G.
        • Diamond D.A.
        • Yeung C.K.
        • et al.
        Laparoscopically assisted ureterocystoplasty.
        BJU Int. 2003; 91: 525-527
        • Hitchcock R.J.
        • Duffy P.G.
        • Malone P.S.
        Ureterocystoplasty: the “bladder” augmentation of choice.
        Br J Urol. 1994; 73: 575-579
        • Kilciler M.
        • Tan O.
        • Tahmaz L.
        • et al.
        Ureterocystoplasty in bilaterally functional kidneys.
        Eur Urol. 2000; 38: 742-747
        • Landau E.H.
        • Jayanthi V.R.
        • Khoury A.E.
        • et al.
        Bladder augmentation: ureterocystoplasty versus ileocystoplasty.
        J Urol. 1994; 152: 716-719
        • Nahas W.C.
        • Lucon M.
        • Mazzucchi E.
        • et al.
        Clinical and urodynamic evaluation after ureterocystoplasty and kidney transplantation.
        J Urol. 2004; 171: 1428-1431
        • Reinberg Y.
        • Allen Jr, R.C.
        • Vaughn M.
        • et al.
        Nephrectomy combined with lower abdominal extraperitoneal ureteral bladder augmentation in the treatment of children with the vesicoureteral reflux dysplasia syndrome.
        J Urol. 1995; 153: 177-179
        • Talic R.F.
        Augmentation ureterocystoplasty with ipsilateral renal preservation in the management of patients with compromised renal function secondary to dysfunctional voiding.
        Int Urol Nephrol. 1999; 31: 463-470
        • Tekgul S.
        • Oge O.
        • Bal K.
        • et al.
        Ureterocystoplasty: an alternative reconstructive procedure to enterocystoplasty in suitable cases.
        J Pediatr Surg. 2000; 35: 577-579
        • Dewan P.A.
        • Anderson P.
        Ureterocystoplasty: the latest developments.
        BJU Int. 2001; 88: 744-751
        • Perovic S.V.
        • Vukadinovic V.M.
        • Djordjevic M.L.
        Augmentation ureterocystoplasty could be performed more frequently.
        J Urol. 2000; 164: 924-927
        • Pascual L.A.
        • Sentagne L.M.
        • Vega-Perugorria J.M.
        • et al.
        Single distal ureter for ureterocystoplasty: a safe first choice tissue for bladder augmentation.
        J Urol. 2001; 165: 2256-2258
        • Zubieta R.
        • de Badiola F.
        • Escala J.M.
        • et al.
        Clinical and urodynamic evaluation after ureterocystoplasty with different amounts of tissue.
        J Urol. 1999; 162: 1129-1132
        • Husmann D.A.
        • Snodgrass W.T.
        • Koyle M.A.
        • et al.
        Ureterocystoplasty: indications for a successful augmentation.
        J Urol. 2004; 171: 376-380
        • Talic R.F.
        Paramedian extraperitoneal approach for combined nephrectomy and augmentation ureterocystoplasty in children with neurovesical dysfunction.
        Eur Urol. 2000; 38: 762-765
        • Churchill B.M.
        • Jayanthi V.R.
        • Landau E.H.
        • et al.
        Ureterocystoplasty: importance of the proximal blood supply.
        J Urol. 1995; 154: 197-198
        • Desai M.M.
        • Gill I.S.
        • Goel M.
        • et al.
        Ureteral tissue balloon expansion for laparoscopic bladder augmentation: survival study.
        J Endourol. 2003; 17: 283-293
        • Ikeguchi E.F.
        • Stifelman M.D.
        • Hensle T.W.
        Ureteral tissue expansion for bladder augmentation.
        J Urol. 1998; 159: 1665-1668
        • Gosalbez Jr, R.
        • Kim Jr, C.O.
        Ureterocystoplasty with preservation of ipsilateral renal function.
        J Pediatr Surg. 1996; 31: 970-975