Kocot A, Spahn M, Riedmiller H
Klinik und Poliklinik für Urologie und Kinderurologie, Julius-Maximilians-Universität, Oberdürrbacherstrasse 6, 97080, Würzburg, Deutschland.
Urologe A. 2009 Dec;48(12):1452-5. doi: 10.1007/s00120-009-2158-2.
For patients with end-stage renal disease and dysfunctional or absent lower urinary tract, complex therapeutic strategies are necessary combining kidney transplantation and - if possible - continent urinary diversion. In this concept urinary diversion is the first step in a two-stage procedure followed by renal transplantation. Meticulous preoperative diagnostics, careful patient selection and life-long close surveillance are critical for the success of this concept. The published data concerning long-term graft and patient survival are promising.
对于终末期肾病且下尿路功能障碍或缺失的患者，需要采取综合治疗策略，将肾移植与（如有可能）可控性尿流改道相结合。在此概念中，尿流改道是两阶段手术的第一步，随后进行肾移植。细致的术前诊断、谨慎的患者选择以及终身密切监测对于该治疗理念的成功至关重要。已发表的有关长期移植物和患者生存率的数据很有前景。
