POS-113 COUPLE FERTILITY AFTER KIDNEY TRANSPLANTATION

Patients with Chronic kidney disease have a dramatic decrease in the reproductive functions. Kidney transplantation stil best effective option to restore their health and improve fertility. The aim of our study is describe fertility after renal outcome pregnancy. It retrospective descriptive single- center conducted at nephrology department Sousse including patients who underwent procreated one or more children transplantation. Data 6 were reviewed.The maternel fetal outcomes studied. average age was 32 years +/-1 years.There are 4 females 2 males. primary nephropathy causing ESRD chronic tubulointerstitiel nephritis cases, indetermined glomerulonephritis GEM case HSF case. these last two recieved corticotherapy without immunosupressive therapy before 5 had history dialysis; One hemodialysis for 1 year, peritoneal dialysis median duration 16 months patient preemptive. Only childen All received from close(live) relatives. HLA match status ≤ 3/6 all patients. Documented gynecologic illness (benign ovarian cysts) present only asthenozoospermia seen patient. women regular menstrual cycles post-transplant immunosuppressant maintenance protocol consisted combination cyclosporine mycophenolate mofetil (MMF) tacrolimus (TAC) MMF Anti-thymocyte globulin induction administered time relapsed between trasplantation onset pregnancy recipient wifes 24 months. creatinine serum value procreation 73 umol/L. There recipients. live birth terme cases abortion any malformations reported birth. Proteinuria most common maternal complication objectived patients, none diagnosed preeclampsia graft rejection during delivery. Pregnancy does not appear affect function population. Improvement sexuality men may conduct quite good absence risk factors.