{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:06:19Z","timestamp":1789553179347,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We performed a scoping review to map the available evidence regarding pre\u2010transplant lower urinary tract dysfunction (LUTD) assessment in adult renal transplant candidates and to summarise reported associations between pre\u2010transplant LUTD and post\u2010transplant urological outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Electronic databases were searched up to 30th September 2025. Studies were included if they assessed lower urinary tract function prior to kidney transplantation using clinical history, questionnaires or investigations and reported post\u2010transplant urological complications and\/or graft outcomes. Risk of bias was assessed using ROBINS\u2010I V2 for comparative studies and QUIPS for prognostic studies. Owing to substantial clinical and methodological heterogeneity, findings were synthesised narratively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 11 studies comprising 4471 patients met the inclusion criteria. Assessment strategies varied considerably across studies, ranging from clinical history alone to validated symptom questionnaires, uroflowmetry and urodynamic testing. Six studies reported urinary tract infection (UTI) outcomes, with most suggesting an increased risk in patients with pre\u2010transplant LUTD. Evidence for acute urinary retention and urosepsis was limited but directionally consistent with higher complication rates. Data on graft survival outcomes were sparse and heterogeneous, with some studies suggesting an association between pre\u2010transplant LUTD and poorer graft survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pre\u2010transplant LUTD appears to be associated with an increased risk of post\u2010transplant urological complications, particularly UTIs. However, the evidence is heterogeneous and largely observational, predominantly derived from retrospective studies, with limited data on graft outcomes. This scoping review highlights marked heterogeneity in pre\u2010transplant LUTD assessment and supports the development of a standardised assessment framework to guide future research and clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70442","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:21:01Z","timestamp":1789550461000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lower Urinary Tract Dysfunction in Renal Transplant Candidates: A Scoping Review of Assessment Methods and Post\u2010Transplant Urological Outcomes"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8025-2405","authenticated-orcid":false,"given":"Dhruv S.","family":"Sahni","sequence":"first","affiliation":[{"name":"Department of Renal Surgery Queen Elizabeth University Hospital Glasgow UK"},{"name":"School of Cardiovascular and Metabolic health University of Glasgow Glasgow UK"},{"name":"Department of Urology Queen Elizabeth University Hospital Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Kingsmore","sequence":"additional","affiliation":[{"name":"Department of Renal Surgery Queen Elizabeth University Hospital Glasgow UK"},{"name":"School of Cardiovascular and Metabolic health University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4404-1926","authenticated-orcid":false,"given":"Imran","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Urology Queen Elizabeth University Hospital Glasgow UK"},{"name":"School of Cancer Sciences University of Glasgow Glasgow UK"},{"name":"Cancer Research UK Scotland Institute Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1427-8850","authenticated-orcid":false,"given":"Mehwash","family":"Nadeem","sequence":"additional","affiliation":[{"name":"Department of Urology South Tees Hospital NHS Foundation trust Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Aitken","sequence":"additional","affiliation":[{"name":"Department of Renal Surgery Queen Elizabeth University Hospital Glasgow UK"},{"name":"School of Cardiovascular and Metabolic health University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2004.11.006"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0041\u20101345(01)02074\u20107"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442\u20102042.2009.02252.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2018.11.13"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0302\u20102838(02)00354\u20108"},{"key":"e_1_2_11_7_1","unstructured":"https:\/\/webarchive.nrscotland.gov.uk\/20241112193232\/ https:\/\/publichealthscotland.scot\/publications\/scottish\u2010renal\u2010registry\/scottish\u2010renal\u2010registry\u2010annual\u2010report\u20102024\/. 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