Fate of renal allografts transplanted in patients with urinary diversion

D. A. Hatch, P. Belitsky, J. M. Barry, A. C. Novick, R. J. Taylor, M. L. Jordan, A. I. Sagalowsky, M. R. Zaontz

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

Fifty-five kidneys were transplanted into 50 patients with supravesical urinary diversion at 16 transplant centers between 1970 and 1991. Of the 32 males and 18 females, 40 were adults (≥18 years) and 10 were less than 18 years old at the time of first transplant. Mean follow-up was 7.8 years. At last follow-up, 94% of recipients were alive and 73% of the kidneys were functioning. Fifteen kidneys were lost: 9 to rejection, 3 to noncompliance, and 3 patients died with a functioning kidney. Ten (18%) transplants were followed by surgical complications. Twenty-four (44%) were followed by medical complications of which urinary tract infection was most common. Recipients age 18 or younger had more urinary tract infections than older patients. No patient had urinary stones and no patient required medical treatment for metabolic abnormalities. We conclude that drainage of kidney transplants into a supravesical urinary diversion is an effective treatment for end-stage renal disease patients without adequate urinary bladders.

Original languageEnglish (US)
Pages (from-to)838-842
Number of pages5
JournalTransplantation
Volume56
Issue number4
DOIs
StatePublished - Jan 1 1993

ASJC Scopus subject areas

  • Transplantation

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    Hatch, D. A., Belitsky, P., Barry, J. M., Novick, A. C., Taylor, R. J., Jordan, M. L., Sagalowsky, A. I., & Zaontz, M. R. (1993). Fate of renal allografts transplanted in patients with urinary diversion. Transplantation, 56(4), 838-842. https://doi.org/10.1097/00007890-199310000-00012