2015, Number 2
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ABSTRACTBackground: When kidney transplantation is performed in patients with anuria, implantation of the ureter into the bladder can be challenging and can have possible long-term consequences. Material and methods:We examined the outcomes of kidney transplant receptors with anuria (residual urine output ‹ 100 mL/day) (n = 30) compared to a group without anuria (n = 81) during a 10-year period. Results: Anuric subjects had longer time on dialysis than the non-anuric control group (p = 0.006). The urological complication rate in anuric patients (13.3%) was similar to the control group (9.9%) (p = 0.4). Anuric subjects had a significantly higher minor (41.4%) and complicated (34.5%) urinary tract infection rate than non-anuric ones (18.6% & 28.6 respectively) (p = 0.01). There were no statistically significant differences between groups in delayed graft function and creatinine clearance at one, three and five years. Ten-year graft survival was 75% in anuric patients and 72% in non-anuric ones (p = ns). Ten-year patient survival was similar between groups. Conclusions: Anuric sibjects should be closely monitored and followed for the prevention and treatment of urinary tract infections.
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