Lower urinary tract symptoms (LUTS) after renal transplant in non-urologic anuric patients

Marco Castagnetti, Evisa Zhapa, Alfredo Berrettini, Giulia Ghirardo, Luisa Murer, Giovanni Franco Zanon, Waifro Rigamonti

Research output: Contribution to journalArticlepeer-review

Abstract

Castagnetti M, Zhapa E, Berrettini A, Ghirardo G, Murer L, Zanon GF, Rigamonti W. Lower urinary tract symptoms (LUTS) after renal transplant in non-urologic anuric patients. Pediatr Transplantation 2010: 14:859-862. 2010 John Wiley & Sons A/S. Abstract: We assessed LUTS at least 12 months after RTx in patients without evidence of lower urinary tract dysfunction (non-urologic) that had been anuric for at least six months before RTx. No bladder recycling was performed before RTx. LUTS were evaluated using a questionnaire. Clinical records were also reviewed. LUTS in anuric patients were compared with those in non-anuric patients. Fourteen anuric patients fulfilled the inclusion criteria. Median age at RTx was 11 (5-21) yr, median duration of anuria before RTx 24 (7-46) months, and median post-RTx follow-up 2.7 (1.9-10.2) yr. Daytime symptoms were exceptional. Nocturia was the most common symptom (10 patients). Only one patient reported symptoms to affect her quality of life. One patient experienced a febrile UTI and none graft failure. LUTS (nocturia) proved unrelated to duration of anuria, length of follow-up, and presence of (nocturnal) polyuria. LUTS were not statistically different in patients anuric and non-anuric before RTx. Non-urologic patients suffer from long-term storage symptoms, particularly nocturia. LUTS, however, do not seem to increase the risks of urinary infections or graft failure and appear to occur irrespective of the presence of anuria before RTx. Bladder recycling before RTx seems unnecessary.

Original languageEnglish
Pages (from-to)859-862
Number of pages4
JournalPediatric Transplantation
Volume14
Issue number7
DOIs
Publication statusPublished - Nov 2010

Keywords

  • anuria
  • bladder function
  • children
  • kidney
  • LUTS
  • nocturia
  • pediatrics
  • renal transplantation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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