Pre-transplant management of XXXX : A critical literature review.

@entity1 @entity8 @entity2011 @entity1494 @entity3025 @entity177 @entity340 @entity293 @entity454
OBJECTIVE: Indications, timing and problems related to augmentation cystoplasty (AC), in the context of @entity340 ( @entity340 ) and @entity8 ( @entity8 ) are ill defined. Associated @entity1494 ( @entity1494 ) is not a stable condition and may cause the loss of the renal graft. @entity2011 , accentuates @entity1494 and seems to improve after @entity8 . The objective of this research is to critically review the available literature, aiming to rationalize the treatment of @entity340 with @entity1494 in the context of @entity454 ( @entity454 ). MATERIALS AND METHODS: A thorough literature review was performed. Pertinent papers were, critically analyzed and classified according to the level of evidence. RESULTS: Data relating to @entity340 , @entity8 and AC showed low levels of evidence. Results of @entity8 in @entity340 cases with adequate management of @entity1494 were comparable to those suffering from other causes of @entity454 . Bladder function can recover spontaneously after urinary undiversion. There were no established criteria to indicate AC in the context of @entity454 and @entity340 or to define the ideal protocol to treat associated @entity3025 ( @entity3025 ). @entity293 ( @entity293 ) were more frequent in transplanted @entity340 @entity1 ; this is possibly related to the inadequate control of @entity1494 , especially after AC. AC is feasible after @entity8 with outcomes comparable to preemptive ones. CONCLUSION: AC increases the risk of UTI after @entity8 . Preemptive AC should be constructed only if the risks associated with increased bladder pressures exceed those associated with AC. Adequate management of @entity1494 is essential to improve bladder function and to minimize @entity293 . AC is feasible after @entity8 , with complication rates similar to the ones performed beforehand. Since a considerable number of @entity340 @entity1 with high-pressure bladders eventually develop @entity177 , it seems logical to postponing AC in this population, as long as they are under close surveillance.
