Elsevier

Urology

Volume 47, Issue 2, February 1996, Pages 198-200
Urology

The necessity of voiding cystourethrogram in the pretransplant urologic evaluation*

https://doi.org/10.1016/S0090-4295(99)80415-4Get rights and content

Abstract

Objectives

To determine the efficacy of limited use of voiding cystourethrogram (VCUG) in the evaluation of patients for renal transplantation.

Methods

A retrospective review of 439 patients who underwent renal transplantation between October 1983 and May 1995; however, since September 1993 we used VCUC selectively in the pretransplant evaluation.

Results

Since September 1993, only 51 % of our renal transplant patients had a VCUG as part of their pretransplant evaluation. Only one urologic complication has occurred in a 68-year-old man with a history of glomerulonephritis. He had an episode of acute urinary retention, which was treated successfully with a temporary suprapubic tube followed by medical therapy.

Conclusions

Our preliminary results reveal no adverse outcomes associated with the selective use of VCUG in the pretransplant evaluation, and indicate that this study is of little value in the routine evaluation of these patients.

References (5)

There are more references available in the full text version of this article.

Cited by (16)

  • Outcome of kidney transplantation following end-stage renal disease due to reflux nephropathy

    2011, Transplantation Proceedings
    Citation Excerpt :

    Because the likelihood of confronting abnormal findings is low in pretransplantation adults, the rise of VCUG has been controversial in recent years. Shandera et al14 examined 333 pretransplantation patients with VCUG observing genitourinary abnomalities in 51. However, they stated that these abnormalities could have been predicted, or the abnormalities might not be severe enough to necessitate repair before transplantation.

  • Selective Use of Voiding Cystourethrography in Children Undergoing Renal Transplant Evaluation

    2009, Journal of Urology
    Citation Excerpt :

    To date, no child undergoing transplant during the study period has required additional post-transplant urological reconstructive surgery for unidentified bladder pathology or problematic native VUR. Previous studies have supported selective use of VCUG in adults as a component of the pre-transplant evaluation.7,9 We were able to identify only 1 other study addressing the usefulness of pre-transplant VCUG among children.8

  • Transplantation and the Abnormal Bladder

    2008, Kidney Transplantation: Principles and Practice
  • Transplantation and the Abnormal Bladder

    2008, Kidney Transplantation
  • Significance of Urodynamic Assessment of Lower Urinary Tract in Dialysis Patients Before Renal Transplantation

    2007, Transplantation Proceedings
    Citation Excerpt :

    They emphasized that LUT dysfunction should be corrected before transplantation. Similar opinions have been presented by Gill et al,10 Lo et al,11 MacGregor et al,12 Marshal et al13 Ramirez et al,14 and Shandera et al.15 Many authors stress that, in justified cases, it is necessary to perform a specialist functional evaluation of the urethra and/or urinary bladder in the form of URD. In 14 dialyzed patients, Coritsiadis et al.16 stated that thorough urologic assessment allowed them to make a proper decision regarding indications for transplantation and the type of urinary outflow.

  • Surgical Aspects of Renal Transplantation

    2005, Chronic Kidney Disease, Dialysis, & Transplantation
View all citing articles on Scopus
*

The opinions or assertions contained herein are the private views of the authors and are not to be construed as reflecting the views of the Departments of the Army, Air Force or Defense.

View full text