Pd56-11 Does Prior Robotic Prostatectomy Complicate Subsequent Renal Transplantation?

You have accessJournal of UrologyTransplantation p=0.6) or pretransplant anuria (50% for both) between the RALP and matched cohorts, respectively. Transplant operative time was longer but not statistically significant with prior RALP (304 vs 260 min; p=0.2). Urology was consulted intraoperatively during transplant for 7 patients (44%) with prior RALP and 1 patient (6%) without RALP (p=0.01). In prior RALP patients, 25% required urologic assistance for catheterization and 25% required assistance in identifying and mobilizing the bladder. Challenges in bladder identification and mobilization were reported by transplant surgeons at a significantly higher rate in patients with prior RALP (63% vs 19%; p=0.01). New onset posttransplant voiding dysfunction was reported in 4 patients with prior RALP (2 stress incontinence, 1 urge incontinence, and 1 stricture) and in 3 patients without prior RALP (all BPH) and was higher in those with pretransplant anuria (OR=3.2). CONCLUSIONS: RALP is a suitable treatment option for patients with localized prostate cancer and ESRD, but may complicate subsequent renal transplant. New onset voiding dysfunction may present following transplantation, particularly in previously anuric patients. By anticipating these challenges, transplant surgeons and urologists can collaborate to optimize patient outcomes. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1206 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Ala'a Farkouh More articles by this author Cheryl Wang More articles by this author Matthew Buell More articles by this author Akin S. Amasyali More articles by this author Kai Wen Cheng More articles by this author Sikai Song More articles by this author Ruby Kuang More articles by this author D. Duane Baldwin More articles by this author Expand All Advertisement PDF downloadLoading ...