Shenasky J H
J Urol. 1976 May;115(5):490-3. doi: 10.1016/s0022-5347(17)59252-6.
Of patients undergoing renal transplantation during a recent 18-month period 42 per cent had significant urologic abnormalities. A thorough pre-transplant evaluation is especially critical in these patients. Massive reflux is an indication for pre-transplantation nephroureterectomy. Reconstructive operations provided a functional bladder in some patients who had previously undergone urinary diversion. Other patients required formation of intestinal conduits. Suggestions for the management of transurethral prostatectomy in patients with renal failure are outlined. Patients with a variety of abnormalities of the urinary tract had a transplantation success rate comparable to that of azotemic patients with normal urinary systems.
在最近18个月内接受肾移植的患者中，42%有明显的泌尿系统异常。对于这些患者，全面的移植前评估尤为关键。重度反流是移植前肾输尿管切除术的指征。重建手术为一些先前已行尿流改道的患者提供了功能性膀胱。其他患者则需要构建肠道导管。文中概述了肾衰竭患者经尿道前列腺切除术的处理建议。患有各种泌尿系统异常的患者的移植成功率与泌尿系统正常的氮质血症患者相当。
