Kidney transplant in pediatric patients with severe bladder pathology
- Sierralta, Maria Consuelo - Gonzalez, Gloria - Nome, Claudio - Pinilla, Cesar - Correa, Ramon - Mansilla Sepúlveda, Juan - Rodriguez, Jorge - Delucchi, Angela - Ossandon, Francisco
- Datos de publicación:
- PEDIATRIC TRANSPLANTATION,Vol.19,675-683,2015
- pediatric kidney transplantation - urological anomalies - graft survival - outcome
- Migración Web of Science 
- The aim of the current study was to compare results in pediatric renal transplantation of patients with and without SBP. Between 2001 and 2013, a total of 168 kidney transplants were performed at our center. A retrospective analysis was performed and recipients were divided into two groups: NB and SBP. Incidence of surgical complications after procedure, and graft and patient survival were evaluated. A total of 155 recipients (92%) with complete data were analyzed, and 13 recipients that had had previous bladder surgeries were excluded (11 with VUR surgery and two with previous kidney transplants), of the 155 recipients: 123 (79%) patients had NB, and 32 (21%) patients had SBP, with a median follow-up of 60 (1-137) and 52 (1-144) months, respectively. Among post-transplant complications, UTI (68.8% vs. 23%, p<0.0001) and symptomatic VUR to the graft (40.6% vs. 7.3%, p<0.0001) were significantly higher in the SBP group. There was no significant difference in overall graft and patient survival between groups. Renal transplantation is safe in pediatric recipients with SBP; however, urologic complications such as UTI and VUR were significantly higher in this group. Graft and patient survival was similar in SBP and NB groups.