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Current Urology Reports
Published in: Current Urology Reports 5/2019

01-05-2019 | Neurogenic Bladder | Female Urology (L Cox, Section Editor)

The Role of Urodynamics in the Pre-transplant Evaluation of Renal Transplant

Authors: Temitope Rude, Nima Nassiri, Aurash Naser-Tavakolian, David Ginsberg

Published in: Current Urology Reports | Issue 5/2019

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Abstract

Purpose of Review

The goal of this study is to delineate the role of advanced urologic evaluation with urodynamics prior to renal transplantation. We seek to report on its indications, possible findings, and subsequent treatment pathways.

Recent Findings

This body of literature is largely comprised of retrospective, single-site studies. Patient selection for urodynamics can be determined based on patient history and voiding symptoms. Many of these renal transplant patients have urodynamic abnormalities such as decreased bladder capacity and compliance. Appropriate treatment of these abnormalities allows for average rates of graft survival.

Summary

Urodynamic evaluation is not needed in every renal transplant recipient. However, in patients with oliguria or bladder dysfunction, urodynamics can often reveal significant pathology. The well-selected patient with lower urinary tract symptoms may also benefit from urodynamic evaluation. Treatment options are widely variable, from observation to reconstructive surgery, and should be based on the patient and urodynamic findings.
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Metadata
Title
The Role of Urodynamics in the Pre-transplant Evaluation of Renal Transplant
Authors
Temitope Rude
Nima Nassiri
Aurash Naser-Tavakolian
David Ginsberg
Publication date
01-05-2019
Publisher
Springer US
Published in
Current Urology Reports / Issue 5/2019
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-019-0887-3

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