Early Urologic Complications After Pediatric Renal Transplant: A Single-Center Experience
TransplantationPublished 9 December 2008
Michael J. Englesbe, Raymond Lynch, David G. Heidt, Susan E. Thomas, Melissa Brooks, Derek A. DuBay
Citations49
SJR quartileQ1
SJR score1.32
SNIP1.20
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Posttransplant urologic complications are associated with substantially increased costs in the first year after transplant, but not with decreased graft survival, and prior urology surgery is associated with increased risk of urology complications posttransplant.
Abstract
Prior urologic surgery is associated with increased risk of urologic complications posttransplant. Posttransplant urologic complications are associated with substantially increased costs in the first year after transplant, but not with decreased graft survival.
Keywords
Medicine
British Journal of UrologyThe Urological Complications of 1000 Renal Transplants
247 Citations1981Anthony R. Mundy, Miguel Luis Podestá +3 more
Two hundred and one urological complications have been diagnosed and treated in 123 transplant recipients in a series of 1000 consecutive renal transplant operations, with a 30% incidence of recurrent or secondary urology complications and correspondingly worsened prognosis.
American Journal of TransplantationStented versus Nonstented Extravesical Ureteroneocystostomy in Renal Transplantation: A Metaanalysis
216 Citations2004Richard S. Mangus, B. Haag
Renal transplants with stented extravesical ureteroneocystostomy have a significantly lower urologic complication rate than those with nonstented anastomoses, confirmed by metaanalysis of these trials and of case‐series data.
American Journal of TransplantationPediatric Transplantation in the United States, 1996–2005
123 Citations2007Simon Horslen, Mark L. Barr +3 more
Examination of immunosuppressive practices shows an increasing tendency across organs toward tacrolimus‐based regimens, and use of induction immunotherapy in the form of anti‐lymphocyte antibody preparations, especially the interleukin‐2 receptor antagonists, has increased steadily.
Transplant InternationalUrological complications following renal transplantation
106 Citations1994Keith Rigg, G Proud +1 more
The Journal of UrologyRENAL TRANSPLANTATION IN CHILDREN WITH SEVERE BLADDER DYSFUNCTION
75 Citations2005Santiago Mendizábal, Francisco Estornell +4 more
Renal transplantation in children with severe bladder dysfunction can achieve similar results to those obtained in the general population, as well as maintaining voiding and adequate control of urinary infections.
Pediatric TransplantationExtravesical ureteroneocystostomy with and without internalized ureteric stents in pediatric renal transplantation
72 Citations2001Christopher French, Philip D. Acott +3 more
The prophylactic use of an indwelling ureteral stent in pediatric renal Tx did not reduce the risk of urinary leakage or obstruction and removal of an internalized double‐J stent requires a general anesthetic.
Pediatric TransplantationVesicoureteral reflux after kidney transplantation in children
66 Citations2007Rafael Barrero, Julia Fijo +4 more
The high percentage of post‐transplant vesicoureteral reflux in pediatric patients were related with higher frequencies of ureterovesical pathology in children who received the transplant and an initial technique, which utilizes a longer submucosal tunnel such as the Lich–Gregoir.
Pediatric TransplantationKidney transplantation in infants and small children
48 Citations2007Blanche M. Chavers, John S. Najarian +1 more
If kidney transplantation is the therapy of choice for older children with renal failure, and equivalent results can be obtained in all age groups, why should it not be offered to these youngest patients?
European UrologyUrological Complications in Pediatric Renal Transplantation
48 Citations2001Jody Nuininga, Wouter F.J. Feitz +3 more
Urological complications are a small threat for graft function and the results are comparable with earlier studies, suggesting routine ultrasound can be important for early detection of problems in the postoperative period.
The Journal of UrologyUROLOGICAL COMPLICATIONS AFTER RENAL TRANSPLANTATION USING URETEROURETERAL ANASTOMOSIS IN CHILDREN
45 Citations2001Steven Lapointe, Marina Charbit +8 more
Ureteroureteral anastomosis is a safe and effective technique for pediatric renal transplantation with a low complication rate, which may be due to better vascularization of the shorter ureterals end of the graft.
Pediatric TransplantationSurgical complications in live‐donor pediatric and adolescent renal transplantation: Study of risk factors
44 Citations2005Ahmed A. Shokeir, Yasser Osman +4 more
Primary urinary continuity is the only risk factor that affects the incidence of surgical complications among pediatric and adolescent live donor renal transplants, with the extravesical technique of Lich‐Gregoir providing the best results.
The Journal of UrologyUrinary Tract Infections and Bladder Dysfunction After Renal Transplantation in Children
44 Citations2007Maria Herthelius, Helena Öborn
Bladder dysfunction did not predispose patients to recurrent urinary tract infections and graft function declined with time in all patients but the rate of deterioration was faster in the group with recurrent urinary tracts infections.
The Journal of UrologySURGICAL COMPLICATIONS OF PEDIATRIC KIDNEY TRANSPLANTATION: A SINGLE CENTER EXPERIENCE WITH THE EXTRAPERITONEAL TECHNIQUE
42 Citations1998Kazunari Tanabe, Kota Takahashi +4 more
The incidence of surgical complications of the extraperitoneal technique in pediatric renal transplant patients was low (6.5%) and seems to be acceptable and theextraperitoneAL technique may be used safely even in low weight children.
The Journal of UrologyIs Routine Ureteral Stenting Cost-Effective in Renal Transplantation?
42 Citations2007Derek A. DuBay, Ray Lynch +6 more
Urinary anastomotic complications following renal transplantation are highly morbid and even with modest decreases in urinary complications prophylactic ureteral stent placement is financially advantageous.
Journal of Pediatric SurgeryComplications of surgical significance in pediatric renal transplantation
39 Citations1992Curtis A. Sheldon, Bernard M. Churchill +2 more
From 1969 to 1986, 303 renal allografts (290 cadaveric) were placed in 215 pediatric recipients and 23 patients had renovascular complications and 16 had nonrenovascular complications, with an overall incidence of surgically significant complications.
The Journal of UrologyDISCUSSION: SURGICAL COMPLICATIONS OF PEDIATRIC KIDNEY TRANSPLANTATION: A SINGLE CENTER EXPERIENCE WITH THE EXTRAPERITONEAL TECHNIQUE
37 Citations1998Kazunari Tanabe, Kota Takahashi +4 more
Whether renal transplantation via the extraperitoneal approach decreases surgical complications in pediatric kidney transplant recipients is retrospectively evaluated.
Wiener klinische WochenschriftUrinary tract infections beyond the early post-transplant period in pediatric renal graft recipients
35 Citations2003Thomas Mueller, Christoph Resinger +4 more
It is suggested that urinary tract infection remains a frequent but mostly benign complication in the pediatric transplant population, however there are only very limited data on children beyond the early post-transplant period.
Transplantation ProceedingsKidney Transplantation in Children and Adolescents
33 Citations2007Markus Giessing, Dominik N. Müller +3 more
The article is a review of current issues in pediatric kidney transplantation and suggests that multinational studies should be initiated to optimize outcomes in children and adolescents.
American Journal of TransplantationIncreased Urologic Complications in Children After Kidney Transplants for Obstructive and Reflux Uropathy
29 Citations2007Sookkasem Khositseth, Varvara Askiti +6 more
Pediatric TransplantationKidney transplants for children under 1 year of age – a single‐center experience
27 Citations2003Khalid Khwaja, Abhinav Humar +1 more
It is concluded that an early transplant is the best treatment option for infants under 1 yr old with chronic renal failure and whenever possible, adult living kidney donors should be used.
Transplant InternationalStenting of the ureterovesical anastomosis in pediatric renal transplantation
24 Citations1990J.H. Bergmeijer, Rien J.M. Nijman +4 more
Transplant InternationalStenting of the ureterovesical anastomosis in pediatric renal transplantation
7 Citations1990J.H. Bergmeijer, Rien J.M. Nijman +4 more
From January 1985 to July 1989, 36 children received a renal transplant at the authors' hospital, with a standard neoureterocystostomy according to Lich-Grégoir.