Conclusion: Good functional outcome could be achieved for patients with PUV if renal transplantation is necessary. Pre- transplant surgical procedures may be re- quired such as nephroureterectomy, cyto- plasty or injection of refluxing ureters. A robust anti-refluxing uretero-vesical anasto- mosis is important, and can be achieved by a Lich-Gregoir procedure. UP-03.030 Enterocystoplasty and Ureterocystoplasty Before Renal Transplantation: A Comparison with the Control Group Mahdavi Zafarghandi R 1 , Taghavi R 1 , Zeraati A 2 , Naghibi M 2 , Nazemian F 2 , Sharifipour F 2 , Tavakkoli M 1 , Mahdavi Zafarghandi M 1 , Kalani Moghaddam F 3 1 Depts. of Urology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran, 2 Nephrology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran, 3 Kidney Transplant Ward, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Introduction and Objective: Two surgi- cal methods of bladder augmentation– enterocystoplasty (EC) and ureterocysto- plasty (UC)–are compared together and with a control group. Materials and Methods: Of 1550 renal transplantations performed in our center by a fixed team from 1988 to 2010, 16 patients (mean age: 18.81 years) and 8 patients (mean age: 11.50 years) under- went enterocystoplasty (group A) and ure- terocystoplasty (group B) before kidney transplantation, respectively. Groups A and B were compared to a control group of 30 recipients with normal bladder func- tion (group C, mean age: 15.63 years) on the aspects of kidney function, graft and patient survival and urinary tract infection episodes. Results: During the mean follow-up time of 82, 63 and 72 months, normal graft function was noticed in 11, 7 and 24 pa- tients of groups A, B and C, respectively (p0.7). Mean serum creatinine was 1.72  0.31, 1.37  0.13 and 1.33  0.59 mg/dl in groups A, B and C, respectively. No significant difference was noticed in graft and patient survivals among the three groups 1, 5 and 10 years after trans- plant. Febrile UTI episodes leading to ad- mission were 23, 6 and 2 in groups A, B and C, respectively. UTI and urosepsis were significantly more in group A than B (p=0.025) and C (p=0.001). No signifi- cant difference was detected between groups B and C (P=0.310) Conclusion: Despite the effectiveness of augmentation cystoplasty (AC) using intes- tine segment or dilated ureter for lower urinary tract reconstruction before kidney transplantation, febrile UTI and urosepsis incidence is detected to be higher in kid- ney recipients with EC. No significant dif- ference is detected in the long term among the three groups in graft function. As a conclusion, it is safe to perform AC of the both methods for lower urinary tract reconstruction before kidney trans- plantation regarding recipients’ condition. UP-03.031 The Effect of Post Renal Transplant Extensive Ureteral Stricture on Patient and Graft Survival Mahdavi Zafarghandi R 1 , Taghavi R 1 , Kalani Moghaddam F 2 , Sheikhi Z 1 , Mahdavi Zafarghandi M 1 1 Dept. of Urology, 2 Kidney Transplant Ward, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Introduction and Objective: Extensive ureteral stricture after renal transplanta- tion, its risk factors and its effect on graft and patient survivals are evaluated in this study. Materials and Methods: Of 1450 renal transplantation performed in our center by a fixed team from 1988 to 2009, those recipients with extensive ureteral stricture were involved in this study. Pre transplant studied factors include recipients’ age, donors’ age and type (live or cadaveric), cold ischemic time duration, immediate or delayed graft function and number of ar- teries were evaluated. Post transplant studied factors include number of acute pyelonephritis, graft function, graft loss and recipients’ death. Results: Extensive ureteral stricture was noticed in 11 cases (0.6%). Ureteropyelos- tomy (5 cases), ipsi lateral pyeloplasty (4 cases) and contro-lateral pyelopyeloplasty (2 cases) were done. After the mentioned procedures no ureteral stricture recur- rence, graft loss or death was noticed. Mostly, extensive ureteral stricture was noticed in graft recipients with more than one artery (P0.003) and cadaveric do- nors with more than 4 hour ischemic time (P=0.001). After surgical correction, extensive ureteral stricture implied no effect on 3-, 5- and 10-year patient and graft survival rate. Conclusion: Increased ischemic time and number of renal arteries is involved in extensive ureteral stricture recurrence after kidney transplant. In the presence of on-time proper corrective procedures, patient and graft survival rate would be similar in cases with and without ureteral stricture. UP-03.032 Marginal Cadaveric Pediatric Donors and Adult Recipients Taghavi R, Mahdavi Zafarghandi R, Mogharabian N, Jahed Ataeian S, Asadpour A Dept. of Urology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Introduction and Objective: The short- age of cadaveric donors for kidney trans- plantation has led to the expansion of the criteria used for donor selection, such as acceptance of pediatric donors. Material and Methods: From May 2001 to April 2009, 291 cadaveric kidney trans- plants have been performed in our hospi- tals of which five of them were en bloc transplanted from marginal pediatric do- nors (age5years, BW15kgs, high CCr or kidney length 8cm) to adult recipi- ents. These recipients were followed up for 3 to 24 months using US, DMSA and MRI. Results: Serum Cr levels were in the range of 0.8 to 1.9 mg/dl during follow -up. One recipient died of MI 3 month postoperatively. One year graft and pa- tient survival were both 85.7%. Complica- tions were ATN in one patient (managed by conservative therapy andv dialysis foor 2 weeks), renal vein thrombosis in one patient (treated with anticoagulants), and subcutaneous hematoma in one. There was no urologic complication. Medium size of graft was 7.2cm preoperatively that reached 9.6cm, 3 months (P=0.018) and 11cm, 12 months (P=0.045) after transplantation. Conclusion: En bloc transplantation of pediatric kidneys is a safe and suitable alternative for adult recipients. One-year graft and patient survival is acceptable and complications are low. UP-03.033 Is Anti-thymocyte Globulin Therapy Considered a Risk Factor for Post Kidney Transplantation Cytomegalovirus Infection? Pourmand G, Saraji A, Sajadi H, Mehrsai A, Nikoobakht M, Razeghi E, Rahbar M, Dehghani S Urology Research Center, Sina Hospital, UNMODERATED POSTER SESSIONS UROLOGY 78 (Supplement 3A), September 2011 S353