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Influence of renal failure on urodynamic, cystoscopic and radiologic evaluations of the lower urinary tract: Implications for the pre‐renal transplant evaluation
Author(s) -
Steers William D.,
Flechner Stuart M.,
Kahan Barry D.,
Rudy Delbert C.,
Benson George S.
Publication year - 1989
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.1930080503
Subject(s) - medicine , cystoscopy , voiding cystourethrogram , urinalysis , cystourethrography , urodynamic testing , urology , urinary system , malignancy , urine , transplantation , surgery , vesicoureteral reflux , urinary incontinence , reflux , disease
Abstract A retrospective analysis of 175 consecutive renal transplant patients who underwent extensive urodynamic evaluation and cystoscopy was performed. Urodynamic abnormalities were few, but general trends appeared. Pretransplant patients tended to have small‐capacity bladders (mean 280 cc) and low urine flow rates (mean 7 cc/sec). The flow rates returned to normal after transplantation regardless of preoperative urine volumes. Cystoscopy failed to demonstrate anatomical abnormalities not discovered on preoperative voiding cystourethrography, and no patient was found to have a lower urinary tract malignancy. A history and physical examination, urinalysis, urine culture, and voiding cystourethrogram constitute an adequate urologic screening evaluation for most renal transplant candidates. Although some patients require cystoscopy and urodynamic evaluation, we have abandoned the “routine” use of these studies.