Archivos espanoles de urologia · 1997
[Urodynamics in kidney transplantation].
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Peña Outeiriño J M, Leal López A
Аннотация
OBJECTIVES: The importance of establishing a protocol for the urological evaluation of patients awaiting renal transplantation is due to the fact that 30% of these adult patients and up to 70% of these children develop renal failure due to a urological condition. The present study analyzes the importance of urodynamic evaluation in these patients.
METHODS: 650 patients awaiting renal transplantation were evaluated by patient history, physical examination, US, Cystouretyhrography, and flowmetry. Thereafter 201 patients with the following conditions were selected for urodynamic assessment: vesicoureteral reflux, changes in bladder morphology (diverticulum, trabeculation), inadequate infundibulization of the bladder neck, diabetes, neurogenic bladder, obstructive pathology and bladders with a small volume capacity. The urodynamic study consisted of instantaneous voiding, cystomanometry and urethral pressure profile.
RESULTS: Of these 201 patients, 45 had vesical hyperreflexia, 45 bladder disuse, 95 had a normal bladder, 12 had a hypoactive bladder and 2 had detrusor instability.
CONCLUSION: The urodynamic study, apart from flowmetry, is basically indicated in patients awaiting renal transplantation who have a neurogenic bladder and/or suspected as having lower urinary tract obstruction.
METHODS: 650 patients awaiting renal transplantation were evaluated by patient history, physical examination, US, Cystouretyhrography, and flowmetry. Thereafter 201 patients with the following conditions were selected for urodynamic assessment: vesicoureteral reflux, changes in bladder morphology (diverticulum, trabeculation), inadequate infundibulization of the bladder neck, diabetes, neurogenic bladder, obstructive pathology and bladders with a small volume capacity. The urodynamic study consisted of instantaneous voiding, cystomanometry and urethral pressure profile.
RESULTS: Of these 201 patients, 45 had vesical hyperreflexia, 45 bladder disuse, 95 had a normal bladder, 12 had a hypoactive bladder and 2 had detrusor instability.
CONCLUSION: The urodynamic study, apart from flowmetry, is basically indicated in patients awaiting renal transplantation who have a neurogenic bladder and/or suspected as having lower urinary tract obstruction.