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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Article info
Publication history
Accepted:
July 3,
2007
Received:
September 27,
2006
Identification
Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
