Prevalence of Urinary Symptoms and Predictive Factors in Kidney Transplant Patients in a Brazilian Center
Keywords:
Organ Transplantation, Kidney Transplantation, Micction, Urinary Bladder Overactive, Urinary IncontinenceAbstract
Objectives: Identify relationships between voiding symptom scores and variables related to transplantation. Methods: Observational, cross-sectional, and analytical study, in which all patients undergoing kidney transplantation in the state of Rondônia, Brazil, were evaluated through interviews and analysis of records, regarding their clinical-demographic profile and signs and symptoms of voiding dysfunction. Chi-square, analysis of variance (ANOVA), and multivariate linear regression were used to establish possible correlations. Results: Eight-one point eighty-seven percent of patients were approached (n = 122). The most common symptoms were increased frequency (68.2%) and nocturia (97.6%). ANOVA demonstrated a relationship between age and International Consultation on Incontinence Questionnaire (ICIQ) (p =0.014), alcoholism and Overactive Bladder Questionnaire (OAB) (p = 0.001), immunosuppressive regimen and ICIQ (p = 0.04), thymoglobulin and OAB (p = 0.009), use of double J and ICIQ (p = 0.014), citomegalovirus infection and OAB (p =0.031), and International Prostate Symptom Score (IPSS) (p = 0.008). Of the comorbidities, it was observed heart failure related to OAB (p = 0.009) and ICIQ (p = 0.003) scores. Chi-square showed an association between alcohol use and group 1 of the OAB (p = 0.005). The Pearson test positively correlated graft ischemia time with ICIQ (p = 0.04). Conclusion: The prevalence of lower urinary tract symptoms is higher in kidney transplant recipients than in the general population, and it was possible to determine predictive factors for their occurrence.
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Copyright (c) 2024 Diego Henrique Gomes Sobrinho, Kézia Jahel Santos Tomaz, Guilherme Rodrigues Schwamback, Renata Gonçalves Santos Rodrigues, Alessandro Corrêa Prudente dos Santos
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