{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:30:06Z","timestamp":1781875806023,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T00:00:00Z","timestamp":1630627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Due to increased risk of pyelonephritis, patients with intestinal reconstruction of the lower urinary tract (IRLUT) have long been advised against kidney transplantation. The aim of this study was to compare the outcomes of transplantation between patients with IRLUT and patients with normal LUT (NLUT) using propensity score matching method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included 23 kidney recipients with IRLUT matched to 46 kidney recipients with NLUT using known allograft survival and pyelonephritis risk factors as covariates. One\u2010, 5\u2010, and 10\u2010year graft survival, pyelonephritis, and surgical complications occurrence and graft function were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One\u2010, 5\u2010, and 10\u2010year graft survival were 96%, 91%, and 63% in the IRLUT group and 96%, 88%, and 70% in the NLUT group, respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.72). Patients with IRLUT had increased cumulative risk of pyelonephritis at 10\u00a0years (70% vs. 19%; log\u2010rank\u2009&lt;\u20090.01) without impacting graft function or rejection occurrence. There was no difference in overall surgical complication, but patients with IRLUT had more urological complications than patients with NLUT (62% vs. 28%; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our case\u2010control study consolidates the results regarding the safety of transplantation in patients with IRLUT using a strong validated matching method and provides new insights regarding graft function, pyelonephritis, and surgical complications in this population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.105","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T11:59:11Z","timestamp":1630670351000},"page":"75-85","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of kidney\u2010transplanted patients with history of intestinal reconstruction of the urinary tract"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5695-5373","authenticated-orcid":false,"given":"Juliette","family":"Gueguen","sequence":"first","affiliation":[{"name":"Department of Nephrology and Clinical Immunology Hospital of Tours  Tours France"},{"name":"Transplantation, Immunologie, Inflammation (T2I) University of Tours  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc\u2010Olivier","family":"Timsit","sequence":"additional","affiliation":[{"name":"Department of Urology and Renal Transplantation Georges Pompidou European Hospital, AP\u2010HP  Paris France"},{"name":"Paris Cite and Kidney Transplantation Department Necker Hospital, Assistance Publique\u2010H\u00f4pitaux de Paris, Paris Descartes University Sorbonne  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Scemla","sequence":"additional","affiliation":[{"name":"Paris Cite and Kidney Transplantation Department Necker Hospital, Assistance Publique\u2010H\u00f4pitaux de Paris, Paris Descartes University Sorbonne  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Michel","family":"Boutin","sequence":"additional","affiliation":[{"name":"Department of Urology CHU de Tours  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9281-9421","authenticated-orcid":false,"given":"Franck","family":"Bruyere","sequence":"additional","affiliation":[{"name":"Transplantation, Immunologie, Inflammation (T2I) University of Tours  Tours France"},{"name":"Department of Urology CHU de Tours  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9l\u00e8ne","family":"Longuet","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Clinical Immunology Hospital of Tours  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Sberro\u2010Soussan","sequence":"additional","affiliation":[{"name":"Paris Cite and Kidney Transplantation Department Necker Hospital, Assistance Publique\u2010H\u00f4pitaux de Paris, Paris Descartes University Sorbonne  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Legendre","sequence":"additional","affiliation":[{"name":"Paris Cite and Kidney Transplantation Department Necker Hospital, Assistance Publique\u2010H\u00f4pitaux de Paris, Paris Descartes University Sorbonne  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dany","family":"Anglicheau","sequence":"additional","affiliation":[{"name":"Paris Cite and Kidney Transplantation Department Necker Hospital, Assistance Publique\u2010H\u00f4pitaux de Paris, Paris Descartes University Sorbonne  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"B\u00fcchler","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Clinical Immunology Hospital of Tours  Tours France"},{"name":"Transplantation, Immunologie, Inflammation (T2I) University of Tours  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Agence de la biom\u00e9decine \u2010 Le rapport annuel m\u00e9dical et scientifique.2016[Internet]. 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