Background: This study is a retrospective analysis of urological complications and their treatment in our series of live-donor renal transplantation. Material and Methods: The series comprised of 500 patients. All underwent extravesical ureteroneocystostomy and all except a few initial patients were stented. Results: There were 92 complications in 82 patients (18.4%). Urinary leakage occurred in 1.2%. There were no intrinsic ureteric obstructions. Extrinsic ureteric obstruction occurred in 0.8% of cases. The incidence of UTI was 15.4% and of urethral strictures 1%. Conclusion: The technique of stented extravesical ureteroneocystomy has led to an extremely low rate of urological complications in our series, over a long time and in a substantial number of patients.

Öz Introduction Renal angiomyolipoma (AML) is a benign tumor composed of adipose tissue, abnormal blood vessels and smooth muscle. AML is usually diagnosed incidentally on ultrasound but symptoms may vary from flank pain, palpable flank mass and hematuria to life-threatening hemorrhage (52%-91%) especially in those larger than 4 cm. Giant AML is usually managed by transarterial embolization (TAE), partial nephrectomy or total nephrectomy as described in the literature. Our case represents the largest AML with a dimension of up to 40 cm which was managed by nephron-sparing surgery in the form of partial nephrectomy without prior embolization. Case Presentation A 35-year-old female patient presented with bloating sensation and increasing abdomen girth since last 3 years. Ultrasound Literatürde çeşitli boyutlarda renal anjiyomiyolipom olguları bildirilmiştir ve 10 cm'den daha büyük olanlar için dev AML terimi genel ortak görüştür. Olgumuz, son üç yıldır artan karın şişliği ile başvurdu. Kontrastlı batın tomografisi hem sol böbrekte küçük ve çok odaklı hem de sağ böbreğin üst ve orta bölümünden köken alan büyük boyutlarda anjiyomiyolipomlar saptadı. Sağ böbreğin orta ve üst bölümüne uygulanan parsiyel nefrektomiye ek olarak alt kutuptaki küçük odaklara da enükleasyon uygulanarak, nefron koruyucu cerrahi yapıldı. Cerrahi örnek 40 cm × 20 cm × 15 cm boyutlarında ve 7000 g ağırlığında olup, histopatolojik açıdan AML olduğu doğrulandı. Bu, 40 cm'ye kadar bir boyuta sahip en büyük AML olgusudur ve öncesinde anjiyoembolizasyon olmaksızın nefron koruyucu cerrahi yapılmıştır. Boyutu genellikle 10 cm'den büyük olan AML, literatürde dev AML olarak kabul edilir.

No abstract