Long-term outcome of one-step kidney transplantation and bladder augmentation procedure in pediatric patients

ABSTRACTBackgroundGuidelines for bladder augmentation (BA) in kidney transplant (KT) recipients are not well-defined. In our center, simultaneous BA with KT (BA-KT) is performed. We assessed transplantation outcomes of this unique extensive procedure.MethodsA case-control single center retrospective study. Transplantation outcomes were compared with those of KT recipients who did not need BA.ResultsCompared to 22 patients who underwent KT only, for 9 who underwent BA-KT, surgical complications and the need for revision in the early posttransplantation period were similar; early graft function was better: estimated glomerular filtration rate (eGFR): 96.5±17.1 vs. 79.4±16.6 ml/min at 0-6 months (p=0.02); posttransplantation clean intermittent catheterization was more often needed: by 78% (7/9) vs. 13% (3/22); and asymptomatic bacteriuria was more common: 100% vs. 9% during the first 6 months (P

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