A Study of Renal Transplant for Patients with Neurogenic Bladder

In our hospital, we performed renal transplants on 12 patients with neurogenic bladder between 1992 and 2010. Three patients with bladder dysfunction had undergone pre-operative cystoplasties for the improvement of their bladder compliance. Patients were divided into high-risk and low-risk groups according to risk of urinary tract complications and infections after renal transplants. The levels of risk were determined on the basis the patients' pre-operative bladder functions and urination states, and the two groups were compared with respect to the incidence of post-operative UTIs (urinary tract infections) and level of renal function. All patients, except a female who could not perform regular CIC (clean intermittent catheterizations) to maintain adequate urine output, were able to maintain renal function. A recipient was able to deliver a baby safely. In addition, we were able to treat post-operative UTIs by increasing the frequency of CICs and by adding a night balloon.