Abstract:
BACKGROUND/AIMS:The aim of this work is to determine the long-term therapeutic benefit(s) of daclizumab induction therapy with triple immunosuppressive protocols including prednisolone, cyclosporine microemulsion (CsA), and mycophenolate mofetil (MMF) in the living related donor kidney transplantation. METHODS:Twenty-one adult recipients of their first kidney allograft were allocated to receive daclizumab with triple immunosuppressive therapy (steroids, CsA, and MMF). They were compared to 50 recipients of their first grafts who received a maintenance triple immunosuppressive therapy (steroids, CsA, and azathioprine). The patients were followed up for 5 years. RESULTS:Daclizumab group significantly experienced a marked reduction of acute rejection (7/21) when compared to the control group (31/50) with subsequent significant reduction of cumulative steroids doses at the end of 5 years. The overall incidence of post-transplant complications was comparable among the two treatment groups. There was no significant difference in patients and graft survival; 5-year patient and graft survival were 95.3%, 85.7% for daclizumab and 96%, 88% for control group, respectively. CONCLUSIONS:Although prophylactic daclizumab with triple immunosuppressive protocol including MMF have drastically reduced the incidence of acute rejections, the graft and patient survival are unchanged in this long-term follow up.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Sheashaa HA,Bakr MA,Fouda MA,El-Dahshan KF,Ismail AM,Sobh MA,Ghoneim MAdoi
10.1007/s11255-006-9091-8subject
Has Abstractpub_date
2007-01-01 00:00:00pages
317-9issue
1eissn
0301-1623issn
1573-2584journal_volume
39pub_type
杂志文章abstract:PURPOSE:To evaluate in an experimental model, the mobility of a novel peritoneal dialysis catheter with a metallic tip (Mag-Cath) using an extra-corporeal magnet. MATERIALS AND METHODS:The Mag-Cath was installed in a porcine model under general anesthesia using laparoscopic access. A senior urologist, a urology reside...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-020-02594-9
更新日期:2021-01-01 00:00:00
abstract::We report a case of a urothelial carcinoma with trophoblastic differentiation of the bladder that occured in a 23-year-old man. The patient presented with hematuria. Multiple papillary masses were resected transurethrally. Histopathologically, grade III urothelial cell carcinoma contained giant cells that were positiv...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-004-0859-4
更新日期:2004-01-01 00:00:00
abstract::We report a 49-year-old woman with exstrophy of the bladder. Our living case constitutes a rare example of bladder exstrophy cases, who lived about 50 years without any severe complication or intervention. ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02550721
更新日期:1996-01-01 00:00:00
abstract::Eight patients with benign prostatic hypertrophy (BPH), considered as a high risk for an operation because of severe accompanying disease, were treated with a self-retaining intraurethral catheter set. Two patients were judged unfit for operation (one because of severe cardiac failure, the other because of severe resp...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:The prevalence of progressive chronic kidney disease (CKD) in children and adults with spina bifida is considerable, rising, and entirely preventable. REMOVING THE CAUSE:PREVENTION OF SPINA BIFIDA: The best prevention of CKD in spina bifida is prevention of spina bifida itself throug...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-010-9894-5
更新日期:2012-06-01 00:00:00
abstract::The authors report the late results of reconstructive surgery on stenosis of the pelvo-ureteral junction in children. 69 patients had been operated during 1965--1970. The results on clinical grounds were good: the infections and pain disappeared and the renal function was normal; however, the operation had no noticeab...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02085428
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:We aimed to describe our experience in administering an innovative surgical technique to treat pediatric cases of exstrophy-epispadias complex. MATERIAL AND METHODS:Between 1995 and 2004, seven consecutive patients (six males) with exstrophy-epispadias complex were treated using ileocecal segment for bladder...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-006-9143-0
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:We aimed to evaluate the efficacy of Lachance formula and more readily available clinical or laboratory factors (other than serum methanol level) in prediction of the needed time for hemodialysis in methanol-poisoned patients. METHODS:In a retrospective study, all methanol-poisoned patients referred to us betw...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-017-1521-2
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:Questionnaires for adequate assessment of the urinary function of neurological patients are not available in Portuguese. The Qualiveen, developed in France for evaluation of general and urinary-related impact on QoL, has been successfully used in neurological patients. AIM:To translate the Qualiveen, to adap...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-008-9402-3
更新日期:2009-01-01 00:00:00
abstract::Leptospirosis is an infectious disease caused by pathogenic leptospires and is characterized by a broad spectrum of clinical manifestations, varying from inappearent infection to fulminant, fetal disease. Eighty-five to 90% of leptospirosis infections are self-limiting. However, 5-10% of infection by L. interrogans ca...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1014494012062
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND/AIMS:Detection of circulating tumor cells (CTCs) in cancer patients has diagnostic and prognostic importance. However, the clinical implications of CTC detection in patients with renal cell carcinoma (RCC) are still unclear. In this study, we investigated the clinical significance of CTCs using two detection...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-018-1954-2
更新日期:2018-10-01 00:00:00
abstract::In 50 patients with terminal renal failure treated by intermittent peritoneal dialysis quantitative and qualitative assessments of peritoneal cells present in six successive changes of dialysate were performed using light microscopy and the Cytur test (Boehringer). The examination was repeated in 25 patients in the co...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02549839
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:Cardiovascular (CV) events are the first cause of death in patients with chronic renal disease (CKD) and in patients with type 2 diabetes mellitus (DM2). The combination of CKD and DM2 elevates the risk of both cardiovascular disease (CVD) and death in this high-risk population. Besides traditional risk factors...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-017-1755-z
更新日期:2018-02-01 00:00:00
abstract::Antegrade endopyelotomy was performed in a patient with pelvic kidney. Nephrostomy tube had been placed in the patient during a previous open pyelolithotomy. The nephrostomy tract was used for establishing percutaneous access. The ureteropelvic junction (UPJ) was balloon dilated and incised laterally under vision. At ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-004-4701-9
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To evaluate the possible association between metabolic syndrome (MetS) and infectious complications after prostate biopsy. METHODS:A total of 480 men underwent prostatic biopsy due to elevated prostate-specific antigen levels and/or abnormal digital rectal examination. Patients were divided into two subgroups ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-014-0904-x
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:Fatigue and depressed mood are considered main impediments to physical activity in haemodialysis (HD) patients. A better understanding of their interrelationships is crucial to develop effective therapies. Moreover, measurement of daily physical activity (DPA) in HD patients is tricky, as it is usually assess...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-020-02578-9
更新日期:2020-10-01 00:00:00
abstract:PURPOSE:To analyse the incidence and management of emphysematous pyelonephritis (EPN) in North West London and examine factors that influence immediate and 6-month outcomes with the aim of guiding future management. METHODS:This work analyses EPN cases from the London North West Healthcare NHS Trust from October 2006 ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-017-1706-8
更新日期:2017-12-01 00:00:00
abstract::Sirolimus is an immunosupressor of the mammalian target of rapamycin inhibitors (mTOR-I) group. Recent studies have emphasized a potential impact of sirolimus on male gonadal function. We report our clinical experience with sirolimus-induced gonadal dysfunction and infertility in both male and female kidney transplant...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-009-9644-8
更新日期:2010-06-01 00:00:00
abstract::Chronic hepatic patients, and particularly those suffering from cirrhosis, are predisposed to different sort of water, electrolyte, acid-base, and trace elements disorders due to their altered liver function, and also to their exposition to infectious, inflammatory, oncologic, and pharmacologic variables whose combina...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-017-1614-y
更新日期:2018-01-01 00:00:00
abstract::One hundred patients with recurrent calcium nephrolithiasis were submitted to the Pak test. At fasting state hypercalciuria was found in 27 cases, while a group of 16 further patients became hypercalciuric after oral calcium load. Only measurement of urinary cAMP excretion in both conditions made it possible to diagno...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02083499
更新日期:1985-01-01 00:00:00
abstract::The white blood cell count (WBC) decreases during haemodialysis and it was investigated as a function of different dialysis membranes. Each of them was used four times, applying different sterilization methods. Twelve chronic haemodialysis patients were studied and dialysed with cuprophan and polyacrylonitrile (PAN) m...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02082704
更新日期:1984-01-01 00:00:00
abstract::Renal osteodystrophy, a frequent complication of chronic renal failure, is usually assessed by periodic X-rays of bone which are both poorly reproducible and expensive. Seeking a better screening test for osteodystrophy, we evaluated the usefulness of serum alkaline phosphatase as a predictor of bone disease and of hy...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02085384
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:The use of interactive voting systems in continuing education helps to evaluate the alteration in the audience's views after a presentation. This study was designed to evaluate whether urologists' attitude towards management of benign prostate hyperplasia can be changed, and to estimate objectively the achievem...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-007-9183-0
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:Reusable flexible-ureteroscopes (fURS) require personnel and budget for processing and repairing, whereas single-use fURS were recently developed. After exclusive reusable fURS since 2011, we experienced high repair costs and single-use fURS were therefore introduced in mid-2017. We aimed to evaluate economic a...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-019-02230-1
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:Our aim was to compare the different characteristics and outcomes of the Amplatz sheaths and single-step metallic dilators which were used for mini-PCNL procedure in a single institution. METHODS:Retrospective medical records of 236 patients who underwent mini-PCNL were reviewed and divided into Amplatz (n = 1...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-017-1516-z
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND AND AIM:Fungal peritonitis is a rare but serious complication in patients undergoing peritoneal dialysis (PD). We aimed to analyze the predisposing factors, clinical aspects, etiological agents, and treatment of fungal peritonitis in patients with PD in our hospital. PATIENTS AND METHODS:The data of all pat...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-010-9763-2
更新日期:2011-03-01 00:00:00
abstract::The aim of this study was to investigate the hormonal and hemodynamic changes during percutaneous nephrolithotomy (PCNL) procedure. Twenty-one patients between 15-65 years of age were included in the study. Invasive blood pressure and heart rate were monitored during PCNL. Serum sodium, potassium, BUN and creatinine l...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1017527126481
更新日期:2001-01-01 00:00:00
abstract::Children with nephrotic syndrome (NS) are at risk for sinovenous and arterial thrombosis, uncommon but serious complications of the nephrotic syndrome. Multiple factors are involved in the hypercoagulable state of patients with NS, for instance, enhanced platelet reactivity and deficiency of antithrombin III due to ur...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-008-9434-8
更新日期:2009-01-01 00:00:00
abstract::Splenogonadal fusion is a rare congenital non-malignant anomaly characterized by fusion of splenic tissue to the gonad and can be continuous or discontinuous. Very few cases have been diagnosed preoperatively. We reported one case of the continuous type presenting with scrotal mass which underwent laparoscopy and the ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-012-0349-z
更新日期:2013-02-01 00:00:00
abstract::Multiloculated renal cell carcinoma and multilocular renal cyst with renal cell carcinoma are uncommon diseases. We report on 2 cases of multiloculated renal cell carcinoma. To our knowledge 16 cases of multiloculated renal cell carcinoma and multilocular renal cyst with renal cell carcinoma have been previously descr...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02583984
更新日期:1991-01-01 00:00:00