Sufi M. Suhail*
Department of Renal Medicine, Singapore General Hospital, SingaporeFulltext PDF
Extrapolating success of Bladder Augmentation Surgery (BAS) in pediatric renal transplant population to adult renal transplantation program could be a challenging action; but it would open up an option for adult end stage renal failure patients resulting from lower urinary tract abnormalities, who are otherwise contraindicated from transplant surgery. Currently a platform of BAS has been developing as predicted by a significant number of papers based on this innovative and courageous maneuver, that are being published in current renal transplant and related literature. The definition of BAS in the context of renal allograft, and characterization in adult renal transplant are yet to be précised in terms of indications, selection of surgical technique and transplant subjects, and defining post-transplant outcome in short term and long term complications, graft function and survival in addition to its’ socioeconomic impact. The methodology of BAS is nonetheless not more complex than that of other sophisticated urological surgical procedures as practiced in related urological issues. The complexities associated with BAS may be the major litigating factor though, the success of BAS in pediatric transplant with its time tested relevance, could be a motivation to practice this challenging procedure in otherwise contraindicated adult renal transplant. Moreover, the need for a centralized guideline is also felt in recent years as more and more interests have been being shown worldwide. In this context current status of BAS in adult renal allograft surgery needs to be defined and would be of significant importance in clinical transplantation. This review aims to bring the essence of BAS in adult renal transplantation to the renal physicians in a legible format.
Bladder augmentation surgery; Renal Transplant; Nephrologist
Suhail SM. Bladder Augmentation Surgery in Prospective Renal Transplant Recipients - A Nephrologist Perspective. Clin Surg. 2017; 2: 1847.