Kidney transplantation in a child with bladder dysfunction who underwent prior bladder augmentation: A case report
Caner Alparslan1, Önder Yavaşcan1, Sait Murat Doğan2, Cem Tuğmen2, Cezmi Karaca2, Ali Avanoğlu3, İbrahim Ulman3, Nejat Aksu1
1İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Nefroloji Bölümü, İzmir
2İzmir Tepecik Eğitim ve Araştırma Hastanesi, Organ Nakli Kliniği, İzmir
3Ege Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, İzmir
Keywords: Kidney transplantation, bladder dysfunction, augmentation, ileocystoplasty, child
Abstract
The management of children with end-stage renal disease (ESRD) due to congenital urological abnormalities is more problematic and difficult than in patients with ESRD due to other causes. Kidney transplantation in neurogenic bladder patients with small capacity and defunctionionalized urinary bladders is a challenging issue in the field of pediatric transplantation. In these patients with severe bladder dysfunction, augmentation cystoplasty can protect the transplanted kidney by reducing intravesical pressure and creating an appropriate capacity.
We, herein, describe our experience with kidney transplanatation in an 8-year-old boy with severe bladder dysfunction who underwent prior augmentation ileocystoplasty. In conclusion, successful kidney transplantation can be possible in children who underwent prior bladder augmentation.