Open AccessThe Need for Routine Native Nephrectomy in the Workup for Kidney Transplantation in Autosomal Dominant Polycystic Kidney Disease Patients
Author(s) -
Niek F. Casteleijn,
Paul Geertsema,
Iris W Koorevaar,
Friso D J Inkelaar,
Martina Jansen,
Steven J Lohuis,
Esther Meijer,
Robert A. Pol,
Jan-Stephan Sanders,
Peter E van de Streek,
Anna M. Leliveld,
Ron T. Gansevoort
Publication year - 2022
Publication title -
urologia internationalis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.771
H-Index - 53
eISSN - 1423-0399
pISSN - 0042-1138
DOI - 10.1159/000525575
Subject(s) - medicine , nephrectomy , transplantation , autosomal dominant polycystic kidney disease , bilateral nephrectomy , kidney transplantation , surgery , polycystic kidney disease , kidney , kidney disease , complication , nephrology , hemodialysis , cyst , retrospective cohort study , urology
There is no consensus if nor when a native nephrectomy should be performed in the workup for kidney transplantation in ADPKD patients. In our PKD Expertise Center, a restrictive approach is pursued in which nephrectomy is performed only in patients with severe complaints, i.e., in case of serious volume-related complaints, lack of space for the allograft, recurrent cyst infections, persistent cyst bleedings, or chronic refractory pain. We analyzed in a retrospective cohort study whether this approach is justified.