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Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent's Disease.

Abstract
Polyuria after kidney transplantation causes graft dysfunction and increased thrombotic risk. We present a case of a polyuric adult with Dent's disease who underwent staged bilateral native nephrectomies, the first operation before transplant and the second four months after transplant. This led to improved allograft function maintained during four years of follow-up. The retroperitoneal laparoscopic approach was well tolerated and allowed continuation of peritoneal dialysis before transplantation. A staged approach helps regulate fluid balance perioperatively and may be tailored to individual need according to posttransplant urine output. This novel approach should be considered for polyuric patients with tubular dysfunction including Dent's disease.
AuthorsRosa M Montero, Rachel Hilton, Jonathon Olsburgh
JournalCase reports in transplantation (Case Rep Transplant) Vol. 2015 Pg. 620371 ( 2015) ISSN: 2090-6943 [Print] United States
PMID25649339 (Publication Type: Journal Article)

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