Objective To retrospectively review our experience over a 10-year period of
renal transplantation in patients with augmented bladders and thus assess
the safety of this procedure.
Patients and methods Ten transplant recipients who had previously undergone
augmentation cystoplasty were reviewed: a cadaveric kidney was transplant
in each case. The donor ureter was anastomosed to the augment bladder in si
x patients, in three to the native ureter and in one the donor renal pelvis
was anastomosed to the native ureter,
Results No patients died and nine of the 10 grafts were functioning at a me
an follow-up of 27 months. The mean (SD) serum creatiaine level at the foll
ow-up was 100.8 (27.25) mmol/L. Four patients had 10 episodes of urosepsis
requiring hospital admission, with only one graft lost.
Conclusion Renal transplantation can be performed safely in patients with a
n augmentation cystoplasty.