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Prevalence and Management of Lower Urinary Tract Symptoms Related to Benign Prostatic Obstruction in a Contemporary Series of Renal Transplant Recipients
- Source :
- Nephro-urology Monthly
- Publication Year :
- 2016
- Publisher :
- Kowsar, 2016.
-
Abstract
- Background: The kidney is the most frequently transplanted human organ worldwide. In patients with end-stage renal failure, renal transplantation improves both quality of life and life expectancy. The current literature indicates that the numbers of renal recipients over 60 years of age has increased in recent years. Objectives: To evaluate the prevalence and management of lower urinary tract symptoms (LUTS) related to benign prostatic obstruction (BPO) in a contemporary series of male renal transplant (RTx) recipients. Materials and Methods: We retrospectively evaluated 150 consecutive transplant recipients at the University of Jena 12 months postoperatively for the presence and treatment of LUTS related to BPO. Results: The mean age of the patients was 59 years (range 27 - 82 years). By 12 months postoperatively, 91% (n = 137/150) were off dialysis with a functioning kidney graft. Two patients died during follow up. Six patients had undergone treatment for prostate cancer prior to RTx. Of the remaining 131 patients, 47% (n = 62/131) were considered as patients with BPO 12 months after RTx. Six percent (n = 8/131) of the patients experienced urinary retention due to BPO and 6% (n = 8/131) had a transurethral resection of the prostate (TURP) during the first year after RTx. No major complications were observed in those patients. A significant increase was noted in the use of α-blocker therapy after RTx (P = 0.004). Conclusions: We observed a high prevalence of LUTS related to BPO in our cohort of patients. Due to the increasing age of transplant recipients, more attention should be paid to the evaluation and treatment of BPO prior to RTx.
- Subjects :
- medicine.medical_specialty
Transurethral Resection of the Prostate (TURP)
Urology
medicine.medical_treatment
Benign Prostatic Obstruction (BPO)
030232 urology & nephrology
Medical Treatment of BPO
030230 surgery
03 medical and health sciences
Prostate cancer
0302 clinical medicine
Lower urinary tract symptoms
Alpha-Blocker Treatment
medicine
Renal Transplantation (RTx)
Dialysis
Transurethral resection of the prostate
Kidney
business.industry
Urinary retention
medicine.disease
Transplantation
medicine.anatomical_structure
Cohort
Lower Urinary Tract Symptoms (LUTS)
medicine.symptom
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 22517014 and 22517006
- Volume :
- 8
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Nephro-urology Monthly
- Accession number :
- edsair.doi.dedup.....6429e93264f4242a08bda01c7e66d8fc