Background: Renal transplantation (RTX) was though to have higher survival rates, quality of life (QoL), cost effective, and better clinical results compare to renal replacement therapy (RRT) such dialysis. However, patients with chronic kidney disease (CKD)  and long term dialysis may have decrease bladder function due to disuses. The aim of this study is to evaluate voiding characteristics of recipient after renal transplant surgery.

Materials & method: Seventy-one patients were diagnosed with CKD and transplanted from living donor in a single center. Anthropometric parameters, physical examinations, cause of CKD, daily urine production, types and duration of dialysis, and basic laboratory examination were collected before transplant surgery. While, post-operative laboratory examination, international prostate symptom score (IPSS), for male patients only, Overactive bladder symptom score (OABSS), uroflowmetry, and post void residue (PVR) was gathered after surgery.

Result: seventy-one patients were evaluated with mean age of 46 ± 17.9 years old with male and female ratio of 52:19. Significant negative correlation was seen between duration of dialysis and daily urine production (r: -0.68, p<0.01). Majority of patients have Qmax more than 15 cc/s (70.4 %) with average flow of 22 ± 9.8 cc/s. Majority of patients had PVR less than 100 cc (91.5 %) with median PVR of 33.5 cc (2.3 – 142). IPSS result shows that frequency [2 (0 – 5)] and nocturia [2 (0 – 5)] are the main problem in these patients (n: 52). OABSS questionnaire also shows that frequency (OABSS 1) and nocturia (OABSS 2) was the main symptom reported by patient, with score 1 (0 – 2) and 2 (0 – 3), respectively.

According to IPSS and OABSS questionnaire, the main symptoms experience with patients after RTX was frequency and nocturia, respectively. Regardless of this fact, majority of patients QoL were not affected; 94.2 % of all patients were pleased after RTX due to the fact that they do not need Renal Replacement Therapy (RRT).

Conclusion: After RTX, majority of patients experienced frequency and nocturia problem due to various causes such as increase daytime and nighttime urine production, urinary tract infection, bladder capacity (both small and large), decrease bladder compliance.