WASHINGTON, DC USA (UroToday.com) - Pre-transplant patients can be divided into those with urologic and non-urologic causes.
Prior interventions and underlying disease states may contribute to challenges for renal transplantation and must be assessed during the evaluation – such challenges may include: venous access problems, arterial issues, and space issues for placement of the donor kidney. Furthermore, in some children pre-transplant nephrectomy may be indicated such as for those with residual tumor or nephritic syndrome.
Underlying metabolic disorders should be addressed such as primary hyperoxaluria in which a liver and renal transplant would be indicated.
Presented by Armando Lorenzo, MD at the 59th Annual Meeting of the Society for Pediatric Urology during the American Urological Association (AUA) Annual Meeting - May 14 - 19, 2011 - Walter E. Washington Convention Center, Washington, DC USA
Reported for UroToday by Pamela I. Ellsworth, MD, Associate Professor Surgery (Urology), Alpert Medical School of Brown University.