Journal List > Korean J Urol > v.49(6) > 1005135

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Kang, Lee, Jeon, Park, Gwak, Shin, and Park: A Patient with Hinman's Syndrome who Underwent Renal Transplantation Using a Pre-existing Cutaneous Ureterostomy
Original Article

Korean J Urol 2008;49(6):566-569.

Published online: 21 January 2008

DOI: https://doi.org/10.4111/kju.2008.49.6.566

A Patient with Hinman's Syndrome who Underwent Renal Transplantation Using a Pre-existing Cutaneous Ureterostomy

Il Kang, Young Guk Lee, Jong Ho Jeon, Kee Heoyk Park1, Jin Ho Gwak2, Hong Seok Shin, Jae Shin Park

Department of Urology, College of Medicine, Daegu Catholic University, Daegu, Korea

1Department of Urology General Surgery, College of Medicine, Daegu Catholic University, Daegu, Korea

2Department of Urology Internal Medicine, College of Medicine, Daegu Catholic University, Daegu, Korea

Received 8 April 2008       Accepted 6 May 2008

Copyright © 2008 The Korean Urological Association

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

It is known that many renal transplantation candidates with end stage renal disease have bladder dysfunction. Before 1966, these patients were considered poor candidates for renal transplantation because of their many bladder problems. But it has recently been reported that renal transplantation with an ileal conduit could solve these problems. Herein, we report on a patient with Hinman's syndrome and this patient underwent renal transplantation using a pre-existing cutaneous ureterostomy.

Keywords: Hinman's syndrome, Renal transplantation, Cutaneous ureterostomy

REFERENCES

1. Hinman F, Baumann FW. Vesical and ureteral damage from voiding dysfunction in boys with neurologic or obstructive disease. J Urol. 1973; 109:727–32.
2. Kelly WD, Merkel FK, Markland C. Ileal urinary diversion in conjunction with renal homotransplantation. Lancet. 1966; 1:222–6.
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4. Kim SJ, Bang HY, Kim ST, Lee SE. Renal transplantation using ileal conduit. J Korean Soc Transplant. 1991; 5:113–6.
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6. Shick E, Tanagho EA. The effect of gravity on ureteral peristalsis. J Urol. 1973; 109:187–91.
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9. Purohit RS, Bretan PN Jr. Successful longterm outcome using existing native cutaneous ureterostomy for renal transplant drainage. J Urol. 2000; 163:446–9.
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Fig. 1.
Urodynamic study (UDS) shows staccato voiding with detrusor hypereflexia and detrusor-sphincter dyssynergia.
kju-49-566f1.tif
Fig. 2.
The pre-kidney transplantation (Pre-KT) cystogram shows a 180cc bladder capacity and an improved bladder shape compared with the previous voiding cystourethrogram (VCUG).
kju-49-566f2.tif
Fig. 3.
Cutaneous retrograde ureterography. (A) Before transplantation: Cutaneous ureterostomy with transureteroureterostomy in the right lower abdomen. (B) After transplantation: the transplanted ureter was connected to the native left ureter, which drains well into the cutaneous ureterostomy.
kju-49-566f3.tif
Fig. 4.
(A) Kidney ultrasonography: 9 weeks after kidney transplantation (KT), the graft kidney shows normal findings without hydronephrosis. (B) Color doppler kidney ultrasonography (USG): the graft kidney show normal blood flow.
kju-49-566f4.tif
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