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Value of the Need for Voiding Cystourethrography Before Renal Transplantation

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Author(s)
박성배박철희김천일조원현김형태
Alternative Author(s)
Park, Sung BaePark, Choal HeeKim, Chun IlCho, Won HyunKim, Hyoung Tae
Publication Year
1998
Abstract
RENAL TRANSPLANTATION has become a com-
mon modality for patients with end-stage renal dis-
ease. In preparation for renal transplantation, patients
undergo extensive and costly laboratory and radiological
evaluation. This comprehensive workup is used to evaluate
the primary disease causing renal failure and its risk of
recurrence in the graft and to discover any occult malignan-
cies or infections that could be devastating once the patient
receives immunosuppressive therapy after transplant sur-
gery. Urological investigation is an essential component of
this workup. The aim is to assess the need for nephrectomy
and to determine the suitability of the urinary reservoir. In
many centers, voiding cystourethrography (VCUG) has
been included in urological evaluation. Testing the VCUG
would ensure that the bladder is of sufficient capacity and to
assess any conditions that could damage the transplanted
kidney. Although the VCUG is important in delineating
anatomic and functional abnormalities of urinary tract, only
25% of potential renal transplant patients may prove to
have a significant urologic abnormality discovered during
testing. Thus, the majority of patients are found to have no
urologic abnormalities on pretransplantation evaluation
using the VCUG.
1
We hypothesized that the VCUG was
not valuable in all patients, and that if a subset of patients
could be identified where this test was indicated, then the
morbidity and cost associated with this investigation would
be considerably decreased and would optimize the use of
the VCUG in preparation of these individuals for renal
replacement.
Department
Dept. of Internal Medicine (내과학)
Dept. of Urology (비뇨의학)
Dept. of Surgery (외과학)
Publisher
School of Medicine
Citation
Transplantation Proceedings, Vol.30(7) : 3001-3003, 1998
Type
Article
ISSN
0041-1345
DOI
10.1016/S0041-1345(98)00904-X
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34695
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