15% of patients affected by severe renal insufficiency have morphological changes in the lower urinary tract with related functional impairment (low capacity, low compliance, incontinence, alterated voiding) that limit renal transplantation. We report on our experience (Desio, Magenta) in the surgical treatment of vesical reservoir in 20 patients: 17 out of 20 have restored their lower tract function and were eligible for renal transplantation. We also sum up the surgical procedures that allowed this condition.
BarnettM., BruskewitzR., GlassN., SollingerH., UehlingD., BelzerF.O.: Long term clean intermittent self catheterization in renal transplant recipients. J. Urol., 134: 654, 1985.
2.
CatanzaroF., ZanolloA.: La rifunzionalizzazione del basso apparato urinario in funzione del trapianto. Acta Urologica Italica, 1989.
3.
GlassN.R., UehlingD., SollingerH., BelzerF.: Renal transplantation using ileal conduits in 5 cases. J. Urol., 133: 666, 1985.
4.
NguyenD.H., ReinbergY., GonzalezR., FrydD., NajarianJ.S.: Outcome of renal transplantation after urinary diversion and enterocystoplasty: a retrospective controlled study. J. Urol., 144: 1349, 1990.
ZaragozaM.R., RitcheyM.L., BloomD.A., Mc GuireE.J.: Enterocystoplasty in renal transplantation candidates: Urodynamic evaluation and outcome. J. Urol., 150: 1463, 1993.