In:
Clinical Transplantation, Wiley, Vol. 29, No. 6 ( 2015-06), p. 539-542
Abstract:
It is estimated that approximately 50% of males over 50 have benign prostatic hypertrophy ( BPH ). BPH is underappreciated in anuric patients with end stage renal disease, and failure of diagnosis in this population can lead to complications after kidney transplantation. Methods A single‐center retrospective review of male patients over 50 yr of age transplanted from J anuary 1, 2010, until S eptember 30, 2013, was performed. Outcomes assessed were as follows: graft survival, urinary retention, discharge with F oley catheter, and urinary tract infection ( UTI ). Results Of 147 patients, 17.0% were diagnosed with BPH before transplant, 19.0% received a BPH diagnosis after transplant, and 64% did not have BPH . Compared to those without BPH , a post‐transplant BPH diagnosis was associated with urinary retention during the transplant admission (0% vs. 46.4%, p 〈 0.01), discharge with F oley catheter (0% vs. 21.4%, p 〈 0.01), readmission related to urinary retention (0% vs. 46.4%, p 〈 0.01), and UTI (18.0% vs. 64.3%, p 〈 0.01). Patients with prior diagnosis of BPH and on therapy had similar outcomes to those without BPH . Conclusions Following kidney transplant, urinary tract complications are more common in patients with BPH ; however, being on medical therapy prior to transplantation diminishes the incidence of these complications significantly.
Type of Medium:
Online Resource
ISSN:
0902-0063
,
1399-0012
DOI:
10.1111/ctr.2015.29.issue-6
Language:
English
Publisher:
Wiley
Publication Date:
2015
detail.hit.zdb_id:
2739458-X
detail.hit.zdb_id:
2004801-4
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