Pelvic reconstructive surgery in renal transplant recipients.

INTRODUCTION AND HYPOTHESIS: Thousands of women undergo renal transplantation each year. Many develop pelvic floor conditions after transplantation requiring surgical correction. This study describes our experience with pelvic reconstructive surgery in renal transplant recipients.

METHODS

Retrospective chart review identified five renal transplant patients who had pelvic reconstructive surgery for urodynamic stress incontinence and prolapse between January 2000 and May 2008. Data included medical and surgical history, POP-Q measurements, and classification of perioperative complications.

RESULTS

The mean age was 56.5 years (range 50-70). A total of two vaginal hysterectomies with vault suspension, three anterior repairs, two posterior repairs, and three synthetic midurethral slings were performed. No intraoperative or postoperative complications occurred. At a mean follow-up of 12.6 months (range 4-36), all patients were cured of their prolapse and incontinence with no evidence for synthetic mesh infection, rejection, or erosion.

CONCLUSIONS

Pelvic reconstructive surgery can safely be performed in renal transplant patients.