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SON DÖNEM BÖBREK HASTALIKLARINDA ALT ÜRİNER SİSTEMİN DEĞERLENDİRİLMESİ

EVALUATION OF THE LOWER URINARY TRACT IN PATIENTS WITH END STAGE RENAL DISEASE

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1996

Key Words:

Keywords (Original Language):

Author NameFaculty of Author
Abstract (2. Language): 
Lower urinary tract of 138 patients with end stage renal disease were evaluated by means of radiologic and urodynamic studies in all and endoscopic studies in selected cases.Urodynamic studies were performed before and 3 to 6 months after renal transplantation. In 59 (42.8%) patients, 69 lower urinary tract abnormalities were found.The rates of abnormal urodynamic findings including unstable bladder, bladder hypocompliance and unobstructed low flow pattern were significantly higher in oligoanuric patients than the nonoligouric patients. Along with an increase in urine output after renal transplantation, these abnormal findings disappeared in all patients except one. To identify lower urinary tract abnormalities in patients with end stage renal disease, we suggest the routine use of free uroflowmetry and voiding cystourethrography as first step studies.Cystometric and endoscopic evaluations have limited indications in selected cases.
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Abstract (Original Language): 
Son dönem Böbrek hastalığı olan 138 hastada, alt üriner sistem radyolojik, ürodinamik çalışmalar ve seçilmiş olgularda sistoskopi ile değerlendirildi. Transplantasyondan önce ve 3 ila 6 ay sonra ürodinamik çalışmalar yapıldı. 59 (% 42.8) hastada, 69 alt üriner sistem anomali¬si saptandı. Oligaanürik hastalarda düşük komplians , instabil mesane ve obsrükte olmayan azalmış idrar akımı gibi anormal ürodinamik bulguların oranı, oli-goanürik olmayan hastalara göre anlamlı deerecede yüksekti. Transplantasyon sonrası idrar miktarının ar¬tımıyla 1 "ı dışındaki tüm olgularda bu anormal bulgu¬ların kaybolduğu izlendi. Sonuç olarak, son dönem böbrek hastalmarında alt üriner sistemin değerlendirilmesinde serbest uroflow-metrui ve miksiyon sistoüretrografisinin iilk yapılacak işlem olduğu, sistometrik ve endoskopik değerlendir¬menin seçilmiş olgularda yapılması gerektiği kanısın¬dayız.
FULL TEXT (PDF): 
PDF icon pdf_tndt_138.pdf
  • 2
64-67
  • Turkish

REFERENCES

References: 

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