Akademik Veri Yönetim Sistemi
ACTAS UROLOGICAS ESPANOLAS, cilt.47, sa.6, ss.351-359, 2023 (SCI-Expanded)
Introduction and objective: Renal transplantation in the pediatric population differs from adults in many aspects. This review will focus on the unique issues of the pediatric recipient. Material and methods: A narrative review on the scarce literature regarding preoperative evaluation before kidney transplantation of the paediatric recipient with an educational focuswas conducted. The literature search allowed for identification of publications in English from January 2000 to October 2022. Published studies were identified by searching the following electronic databases: PubMed (Medline), WHO/UNAIDS, Google-Scholar, Semantic-Scholarand Research Gate. For efficiency and reliability, recent randomized controlled trials, meta analyses, high quality systematic reviews and large well-designed studies were used if available. Internet searches were conducted for other relevant information (definitions, policies or guidelines). Results: Management of congenital urogenital anomalies and lower urinary tract dysfunction along with optimal pediatric urological preoperative assessment for renal transplantation in children is addressed in the light of the available literature. Furthermore, particular considerations including pre-emptive transplantation, transplantation of an adult-size kidney into an infant or small child is discussed. Conclusions: Outcomes of renal transplantation in children have shown progressive improvement over the past 15 years. Transplantation with living related donor gives the best results and pre-emptive transplantation provides with benefits of avoiding dialysis. Surgical and medical considerations in both the pre-transplant and post-transplant management of the pediatric kidney recipient are extremely crucial in order to achieve better short and long-term results. (c) 2023 AEU. Published by Elsevier Espana, S.L.U. All rights reserved.