Abstract | PURPOSE: MATERIALS AND METHODS: RESULTS: From 1975 to 2000, 23 horseshoe kidneys were transplanted en bloc, while 57 were split and transplanted into 97 recipients. Primary nonfunction was observed in 4.3% and 13.4% of en bloc and divided transplanted kidneys, respectively. Postoperatively a urinary fistula formed after renal isthmus division in 2 cases. An increased number of renal vessels was not associated with an increased risk of primary nonfunction. CONCLUSIONS:
Horseshoe kidney anatomy should be closely inspected after explantation. The decision to split a horseshoe kidney should be based on urinary collecting system anatomy in the renal isthmus and on the number as well as the position of the renal vessels. Horseshoe kidneys can and should always be considered for transplantation.
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Authors | O B Stroosma, G W Schurink, J M Smits, G Kootstra |
Journal | The Journal of urology
(J Urol)
Vol. 166
Issue 6
Pg. 2039-42
(Dec 2001)
ISSN: 0022-5347 [Print] United States |
PMID | 11696702
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Child
- Child, Preschool
- Data Collection
- Decision Trees
- Female
- Humans
- Infant
- Kidney
(abnormalities, blood supply)
- Kidney Transplantation
(methods, statistics & numerical data)
- Male
- Middle Aged
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