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European Urology

European Urology

Volume 58, issue 5, pages e51-e52, November 2010

Case Study of the Month

Is Renal Living-Donor Transplantation Indicated in Adult Patients with Orthotopic Ileal Neobladder? Lessons Learned from a Clinical Case eulogo1

Andrea Airoldi, Alessandro Volpe, Michele Billia, GianSilvio Marchioro, Roberta Fenoglio, Elisa Lazzarich, GianMario Sacchetti, Cinzia Baiocco, Eugenio Inglese, Alberto Menegotto, Carlo Terrone and Piero Stratta

Accepted 7 May 2009, Published online 19 May 2009, pages 788 - 791


Abstract

Renal transplantation is the treatment of choice for patients with end-stage renal disease and it has already been described in the literature in patients with orthotopic neobladders, mostly in the paediatric population. We report the first case of a living-donor renal graft in an adult patient with a orthotopic neobladder that was performed after radical cystectomy for urinary tuberculosis and reflux nephropathy. This patient experienced urologic and metabolic complications since the early posttransplant period.

Keywords: Orthotopic ileal neobladder, Renal transplantion, Living donor, Metabolic acidosis, Renal failure.


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