ABSTRACT
Congenital fusion of the renal pelves occurs rarely and is usually associated with fusion of the kidneys. The first case of surgically proved separate kidneys with crossed fusion of the renal pelves is reported.
Subject(s)
Abnormalities, Multiple , Kidney Pelvis/abnormalities , Klippel-Feil Syndrome/complications , Abnormalities, Multiple/diagnostic imaging , Abnormalities, Multiple/pathology , Adolescent , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Kidney Pelvis/diagnostic imaging , Kidney Pelvis/pathology , Male , RadiographyABSTRACT
Of patients undergoing renal transplantation during a recent 18-month period 42 per cent had significant urologic abnormalities. A thorough pre-transplant evaluation is especially critical in these patients. Massive reflux is an indication for pre-transplantation nephroureterectomy. Reconstructive operations provided a functional bladder in some patients who had previously undergone urinary diversion. Other patients required formation of intestinal conduits. Suggestions for the management of transurethral prostatectomy in patients with renal failure are outlined. Patients with a variety of abnormalities of the urinary tract had a transplantation success rate comparable to that of azotemic patients with normal urinary systems.
Subject(s)
Kidney Diseases/surgery , Kidney Transplantation , Urinary Tract/abnormalities , Adolescent , Adult , Child , Humans , Kidney Diseases/etiology , Preoperative Care , Transplantation, HomologousABSTRACT
The first reported case of renal transplantation in a patient with prune belly syndrome is presented. Transplanatation should be considered for patients with this syndrome in whom renal failure develops despite appropriate urologic reconstruction. A thorough preoperative evaluation ascertaining the status of the lower urinary tract is especially important in these patients.
Subject(s)
Abdominal Muscles/abnormalities , Abnormalities, Multiple/surgery , Kidney Transplantation , Testis/abnormalities , Urogenital Abnormalities , Adult , Humans , Male , Transplantation, HomologousABSTRACT
Children with urologic causes of renal failure constitute an increasing percentage of patients requiring transplantation. Two children weighing less than 20 Kg. underwent successful transplantation despite multiple previous intra-abdominal procedures. The retroperitoneal technique employed for these patients is described and its advantages emphasized.
