LONG-TERM RESULTS OF RENAL-TRANSPLANTATION IN CHILDREN WITH THE PRUNE-BELLY SYNDROME

Purpose: We assessed the long-term efficacy of renal transplantation i n children with the prune-belly syndrome. Materials and Methods: We re trospectively compared the outcomes of renal transplantation in 9 chil dren with the prune-belly syndrome and 100 with malformative uropathy. Results: Craft survival in the prune-belly syndrome and control group s was 50 and 72% at 5 years, and 50 and 47% at 10 years, respectively (not statistically significant). No statistically significant increase in serum creatinine was noted at 10 years in children with the prune- belly syndrome. Two patients with the prune-belly syndrome underwent i nternal urethrotomy after transplantation. All patients voided well an d did not require intermittent catheterization. Conclusions: Renal tra nsplantation in children with the prune-belly syndrome is not associat ed with a high rate of failure. However, these patients must be follow ed with regular urological evaluation since voiding efficiency may det eriorate.