The Importance of Video Urodynamics in Selected Oligo-Anuric Patients Awaiting Renal Transplantation.
Vesicoureteral reflux was found on video urodynamics in most selected oligo-anuric patients evaluated around renal transplantation.
The Importance of Video Urodynamics in Selected Oligo-Anuric Patients Awaiting Renal Transplantation.
Lower urinary tract (lower urinary tract) dysfunction can compromise renal graft function through high detrusor pressures, vesicoureteral reflux (vesicoureteral reflux), and recurrent urinary tract infections (rUTIs).
This study aimed to determine the prevalence and characteristics of lower urinary tract dysfunction identified using video-urodynamics (video-urodynamics) in selected oligo-anuric patients undergoing renal transplant evaluation or post-transplant assessment.
Were included if oligo-anuric while awaiting renal transplantation with clinical history suggesting lower urinary tract dysfunction, or if oligo-anuric at the time of transplantation and subsequently developed rUTIs, declining graft function, or new LUT symptoms.
High-grade reflux (grade III-V) was present in 18 patients (46% of the cohort) (15 in transplant kidneys).
In 24/30 patients with vesicoureteral reflux (80%), reflux was associated with underlying bladder pathology that increased detrusor pressure.
Pseudo-post-void residual due to reflux was observed in 18 patients.
Lower urinary tract dysfunction is highly prevalent in selected oligo-anuric patients undergoing renal transplant evaluation.
video-urodynamics enables identification of high-pressure bladder pathology and vesicoureteral reflux that may threaten graft integrity.