Factors Predicting Renal Function Outcome after Augmentation Cystoplasty
Joint Authors
Al Taweel, Waleed
Seyam, Raouf
Mehmood, Shahbaz
Firdous, Sadia
Source
International Journal of Nephrology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
We determined the cause of renal deterioration after augmentation cystoplasty (AC).
Twenty-nine adult patients with refractory bladder dysfunction and who underwent ileocystoplasty from 2004 to 2015 were studied.
Patients with a decline in glomerular filtration rate (GFR) after augmentation were reviewed.
The primary outcome was to determine the factors that might lead to deterioration of estimated GFR.
Median follow-up was 7.0±2.6 years.
Significant bladder capacity, end filling pressure, and bladder compliance were achieved from median 114±53.6 to 342.1±68.3 ml (p=.0001), 68.5±19.9 to 28.2±6.9 cm H2O (p=.0001), and 3.0±2.1 to 12.8±3.9 (p=.0001), respectively.
Renal function remained stable and improved in 22 (76%) patients from median eGFR 135±81.98 to 142.82±94.4 ml/min/1.73 m2 (p=.160).
Significant deterioration was found in 7 (24%) patients from median eGFR 68.25±42 to 36.57±35.33 (p=.001).
The causes of renal deterioration were noncompliance to self-catheterization (2 patients), posterior urethral valve/dysplastic kidneys (2 patients), and reflux/infection (2 patients).
On multivariate analysis, recurrent pyelonephritis (OR 3.87, p=0.0155) and noncompliance (OR 30.78, p=0.0156) were significant.
We concluded that AC is not the cause of progression to end-stage renal disease in patients with renal insufficiency.
American Psychological Association (APA)
Mehmood, Shahbaz& Seyam, Raouf& Firdous, Sadia& Al Taweel, Waleed. 2017. Factors Predicting Renal Function Outcome after Augmentation Cystoplasty. International Journal of Nephrology،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1167819
Modern Language Association (MLA)
Mehmood, Shahbaz…[et al.]. Factors Predicting Renal Function Outcome after Augmentation Cystoplasty. International Journal of Nephrology No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1167819
American Medical Association (AMA)
Mehmood, Shahbaz& Seyam, Raouf& Firdous, Sadia& Al Taweel, Waleed. Factors Predicting Renal Function Outcome after Augmentation Cystoplasty. International Journal of Nephrology. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1167819
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1167819