BLADDER DISORDERS AND VOIDING DYSFUNCTION AFTER KIDNEY TRANSPLANTATION
Complications After Kidney Transplantation, Akademisyen Kitabevi, ss.317-328, 2026
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2026
- Doi Numarası: 10.37609/akya.4215.c12430
- Yayınevi: Akademisyen Kitabevi
- Sayfa Sayıları: ss.317-328
- Çukurova Üniversitesi Adresli: Evet
Özet
Kidney transplantation is the most effective treatment for end-stage renal disease; however, long-term graft survival largely depends on the functional integrity of the lower urinary tract. Bladder disorders and voiding dysfunction after transplantation are common, particularly in patients with a history of prolonged anuria or oliguria. These conditions are associated with reduced bladder capacity, impaired compliance, and detrusor dysfunction. Comprehensive evaluation, including clinical assessment, uroflowmetry, post-void residual measurement, and selective urodynamic studies, is essential for identifying high-risk patients. Common dysfunction patterns include low-capacity bladder, overactive bladder, hypocontractile bladder, and neurogenic bladder. If untreated, these conditions may lead to complications such as urinary tract infections, vesicoureteral reflux, and obstructive uropathy, ultimately compromising graft function. A stepwise management approach, incorporating pharmacological therapy, clean intermittent catheterization, and surgical interventions, is crucial for optimizing outcomes and preserving long-term graft function.