PALAPATTU G, BLOOM D, SMITH R and BOXER R (2018) WILLARD E. GOODWIN: EDUCATOR, INNOVATOR AND PIONEERJournal of Urology, VOL. 172, NO. 1, (40-44), Online publication date: 1-Jul-2004.
Gittes R (2018) To Stent or Not to StentJournal of Urology, VOL. 134, NO. 6, (1179-1179), Online publication date: 1-Dec-1985.
Anderson E (2018) Editorial CommentJournal of Urology, VOL. 129, NO. 3, (546-547), Online publication date: 1-Mar-1983.
Orton K and Middleton R (2018) Ileal Substitution of the Ureter in Renal TransplantationJournal of Urology, VOL. 128, NO. 2, (374-375), Online publication date: 1-Aug-1982.
Goldstein I, Cho S and Olsson C (2018) Nephrostomy Drainage for Renal Transplant ComplicationsJournal of Urology, VOL. 126, NO. 2, (159-163), Online publication date: 1-Aug-1981.
Mcloughlin M (2018) The Ureter in Pediatric Renal AllotransplantationJournal of Urology, VOL. 118, NO. 6, (1041-1042), Online publication date: 1-Dec-1977.
Cook G, Cant J, Crassweller P and Deveber G (2018) Urinary Fistulas After Renal TransplantationJournal of Urology, VOL. 118, NO. 1 Part 1, (20-21), Online publication date: 1-Jul-1977.
Colfry A, Schlegel J, Lindsey E and McDonald J (2018) Urological Complications in Renal TransplantationJournal of Urology, VOL. 112, NO. 5, (564-566), Online publication date: 1-Nov-1974.
Marx W, Halasz N, Mclaughlin A and Gittes R (2018) Urological Complications in Renal TransplantationJournal of Urology, VOL. 112, NO. 5, (561-563), Online publication date: 1-Nov-1974.
Salvatierra O, Kountz S and Belzer F (2018) Prevention of Ureteral Fistula after Renal TransplantationJournal of Urology, VOL. 112, NO. 4, (445-448), Online publication date: 1-Oct-1974.
Deweerd J, Woods J and Leary F (2018) The Allograft UreterJournal of Urology, VOL. 109, NO. 6, (958-963), Online publication date: 1-Jun-1973.
Weiss R, Schiff M and Lytton B (2018) Late Obstruction after UreteroneocystostomyJournal of Urology, VOL. 106, NO. 1, (144-148), Online publication date: 1-Jul-1971.
Summary
Patients with congenital abnormalities of the lower urinary tract may develop end-stage renal failure, necessitating kidney transplantation. If their own bladder is unsuitable for implantation of the graft ureter, or if reconstructive surgery of the lower tract is not possible, the ureter can be implanted in an ileostomy or colostomy. The results of a follow-up study of 22 kidney transplants in 19 patients with a urinary diversion are reported. The immediate post-operative surgical complications were few, including one superficial wound abscess, one lymphocele, and one hematoma. One patient had a perforation of the ileal loop after the excision of an infected kidney. The late surgical complications involved excessive length of the ileal loop in two patients, nephrolithiasis in two, and ureteroileal anastomotic strictures in three. One patient died of liver failure 2 years posttransplantation with a well-functioning graft. Today, 16 of the remaining 18 patients have a well-functioning graft, one has impaired kidney function, and one is on dialysis. The 1- and 2-year graft survival rates are 90.6% and 74.7%, respectively, and the mean follow-up period is 5.5 years. Our results show that kidney transplantation in patients with a urinary diversion can be carried out with an acceptable complication rate and a very good patient and graft survival rate.
Access options
Buy single article
Instant access to the full article PDF.
39,95 €
Price includes VAT (Korea(Rep.))
References
Castro JE, Mustapha N, Mee AD, Shackman R (1975) Ileal urinary diversion in patients with renal transplants. Br J Urol 47:603–606
Google Scholar
Cerelli J, Anderson GW, Evans WE, Smith JP (1976) Renal transplantation patients with urinary tract abnormalities. Surgery 79:248–254
Google Scholar
Dunn M, Roberts JBM, Smith PJB, Slade N (1979) The long-term results of ileal conduit urinary diversion in children. Br J Urol 51:458–461
Google Scholar
Glass NR, Uehling D, Sollinger H, Belzer F (1985) Renal transplantation using ileal conduit in 5 cases. J Urol 133:666–668
Google Scholar
Kelly WD, Merkel FK, Markland C (1966) Ileal urinary diversion in conjunction with renal transplantation. Lancet 1:222–226
Google Scholar
Kimbler RW, Zincke H, Woods JE, Leary FJ, Roses J, DeWeerd JH (1977) Supravesical urinary diversion in renal transplantation. Eur Urol 3:193–196
Google Scholar
Marchioro TL, Treman JA (1974) Ureteroileostomy in renal transplant patients. Urology 3:171–174
Google Scholar
Markland C, Kelly WD, Buselmeier T, Kjellstrand C, Simmons R, Najarian J (1972) Renal transplantation into ileac urinary conduits. Transplant Proc IV:629–631
Google Scholar
Marshall FF, Smolev JK, Spees K, Jeffs RD, Burdick JF (1982) The urological evaluation and management of patients with congenital lower urinary tract anomalies prior to renal transplantation. J Urol 127:1078–1081
Google Scholar
Oosterhof GON, Arendsen HJ, Hoitsma AJ, Koene RAP, Debruyne FMJ (1986) Nierentransplantation bei Patienten mit einer Harnableitung. Akt Urol 17:171–200
Google Scholar
Peters PC (1976) The management of renal transplant recipients with abnormal lower tract reconstruction — reconstruction versus diversion. Urol Clin North Am 3:658–690
Google Scholar
Rattazzi LC, Simmons RL, Markland C, Casali R, Kjellstrand CM, Najarian JS (1975) Calculi complicating renal transplantation into ileal conduits. Urology 5:29–31
Google Scholar
Stenzel KH, Stubenbord WT, Whitsell JC, Lewy JE, Riggio RR, Cheigs JS, Marshall VF, Rubin AL (1974) Kidney transplantation, use of ileal conduits. J Am Med Assoc 229:534–537
Google Scholar
Stephenson TP, Salaman JR, Stone AR, Murray KHA, Griffin P (1984) Urinary tract reconstruction before renal transplantation. Transplant Proc XVI:1340–1341
Google Scholar
Tunner WS, Whitsell JC II, Rubin AL (1971) Renal transplantation in children with corrected abnormalities of the lower urinary tract. J Urol 106:133–139
Google Scholar
Williams JL, Confer DJ, DeLemos RA, Montie JE (1980) Colon conduit in pediatric renal transplantation. J Urol 124:515–518
Google Scholar
Download references
Author information
Authors and Affiliations
Department of Urology, Sint Radbound University Hospital, Nijmegen, The Netherlands
G. O. N. Oosterhof, H. J. Arendsen & F. M. J. Debruyne
Department of Nephrology, Sint Radbound University Hospital, Nijmegen, The Netherlands
A. J. Hoitsma
Authors
- G. O. N. Oosterhof
You can also search for this author in PubMed Google Scholar
- A. J. Hoitsma
You can also search for this author in PubMed Google Scholar
- H. J. Arendsen
You can also search for this author in PubMed Google Scholar
- F. M. J. Debruyne
You can also search for this author in PubMed Google Scholar
Rights and permissions
About this article
Cite this article
Oosterhof, G.O.N., Hoitsma, A.J., Arendsen, H.J. et al. Kidney transplantation in patients with a urinary diversion. World J Urol 6, 91–94 (1988). //doi.org/10.1007/BF00326621
Download citation
Issue Date: August 1988
DOI: //doi.org/10.1007/BF00326621
Keywords
- Kidney Transplantation
- Nephrolithiasis
- Anastomotic Stricture
- Urinary Diversion
- Graft Survival Rate