Simultaneous pediatric kidney transplantation and ureterocystoplasty in a 20-month-old boy

O. N. Ojogho, R. Ben-Youssef, L. J. Chen, P. W. Baron, E. S. Franco, D. D. Baldwin

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Kidney transplantation (KT) in children with end-stage renal disease and an abnormal bladder poses a complex management challenge. Ureterocystoplasty (UC) has been previously reported in older children with non-compliant bladders, but the timing and technique of repair are controversial. This case reports the youngest patient, a 20-month-old boy to undergo successful single-stage UC and living-related KT. UC was performed because of a fibrotic, non-compliant bladder. A temporary vesicostomy was placed to provide adequate drainage in the presence of urethral stenosis. The patient developed a single episode of pyelonephritis within the first six months post-operatively, but there were no other urologic complications. At 13 months, the renal function is excellent with a mean glomerular filtration rate of 100 mL/min/1.73 m2 and no clinical evidence of rejection. This case demonstrates that simultaneous UC and KT can be safely performed even in infants with non-compliant bladders and renal failure.

Original languageEnglish (US)
Pages (from-to)436-440
Number of pages5
JournalPediatric Transplantation
Volume11
Issue number4
DOIs
StatePublished - Jun 1 2007
Externally publishedYes

Keywords

  • Bladder augmentation
  • Dysplastic kidney
  • Kidney transplantation
  • Ureterocystoplasty
  • Urinary tract abnormality

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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