Abstract
Objectives
To evaluate the role of video-urodynamic examination prior to renal transplantation.
Methods
Sixty-four kidney transplant recipients were included into the study. All patients underwent video-urodynamic examination and separate uroflowmetry. Results were evaluated based on daily mean amount of urine, duration of chronic renal failure and presence of diabetes mellitus.
Results
Thirty-five (54.6%) patients showed video-urodynamic abnormalities. The mean detrusor capacity was 234 ml, the mean detrusor compliance was 17.5 cm H2O/ml, the mean maximum detrusor pressure was 61.9 cm H2O and the mean Q max was 13.8 ml/s in all patients. Vesicoureteral reflux was detected in 15 (23%) patients. The mean detrusor compliance and detrusor capacity significantly decreased as the daily amount of urine decreased and as the duration of chronic renal failure increased. Also, there was no significant relation between presence of diabetes mellitus and detrusor capacity and detrusor compliance.
Conclusion
Video-urodynamic studies before renal transplantation provide earlier diagnosis of lower tract abnormalities, which are likely to cause graft dysfunction.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Power RE, Hickey DP, Little DM (2004) Urological evaluation prior to renal transplantation. Transplant Proc 36:2962–2967
Zermann DH, Loffler U, Reichelt O et al (2003) Bladder dysfunction and end stage renal disease. Int Urol Nephrol 35:93–97
Rigamoni W, Capizzi A, Zacchello G et al (2005) Kidney transplantation into bladder augmentation or urinary diversion: long-term results. Transplantation 80:1435–1440
Theodorou C, Katsifotis C, Bocos J et al (2003) Urodynamics prior to renal transplantation its impact on treatment decision and final results. Scand J Urol Nephrol 37:335–338
Park C, Ha H, Kim C et al (1998) Value of the need for voiding cystourethrography before renal transplantation. Transplant Proc 30:3001–3003
Singer JS, Zaid U, Gritsch HA et al (2009) Selective use of voiding cystourethrography in children undergoing renal transplant evaluation. J Urol 182:1158–1162
Mizerski A, Ostrowska Clark K, Ostrowski M et al (2003) Postoperative adaptation of urinary bladder to variable volume of urine in the initial period following kidney transplantation. Transplant Proc 35:2174–2175
Van der Weide MJ, Van Achterberg T, Smits JP et al (2008) Causes of frequency and nocturia after renal transplantation. BJU Int 101:1029–1034
Remport A, Keszei A, Vamos EP et al. (2010) Association of pre-transplant dialysis duration with outcome in kidney transplant recipients: a prevalent cohort study. Int Urol Nephrol (In press)
Errando C, Batista JE, Caparros J et al (2005) Is bladder cycling useful in the urodynamic evaluation previous to renal transplantation? Urol Int 74:341–345
Djakovic N, Wagener N, Adams J et al (2008) Intestinal reconstruction of the lower urinary tract as a prerequisite for renal transplantation. BJU Int 103:1555–1560
Nahas WC, Mazzucchi E, Arap MA et al (2002) Augmentation cystoplasty in renal transplantation: a good and safe option-experience with 25 cases. Urology 60:770–774
Garat JM, Caffaratti J, Angerri O et al (2009) Kidney transplants in patients with bladder augmentation: correlation and evolution. Int Urol Nephrol 41:1–5
Acknowledgments
This study is supported by Baskent University School of Medicine (KA08/268).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Turunc, T., Micozkadioglu, H., Dirim, A. et al. Evaluation of video-urodynamic studies before renal transplantation in chronic renal failure patients. Int Urol Nephrol 42, 903–907 (2010). https://doi.org/10.1007/s11255-010-9739-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11255-010-9739-2