PRETRANSPLANT BINEPHRECTOMY IN PATIENTS W ITH AUTOSOMAL POLYCYSTIC KIDNEY-DISEASE

Patients with autosomal dominant polycystic kidney disease are good ca ndidates for renal transplantation, despite the fact that they are old er at initiation of dialysis treatment. After grafting, the native pol ycystic kidneys are, however, at risk of infectious and hemorrhagic co mplications, in addition to patient's discomfort and technical difficu lties with graft placement. We report on 10 successful cases of pretra nsplant binephrectomy performed in one time and analyse the risk facto rs of such a surgery. Nowadays, it appears that the disadvantages of a n anephric state can be balanced by substitutive therapy. In conclusio n, after this short series, we think that bilateral nephrectomy has to be considered in patients with autosomal polycystic kidney disease, e specially when they have a prior history of renal infections and/or re peated hematurias.