Management of Calculi in A Donor Kidney

Trivedi, Amit; Patel, Suhag; Devra, Amit Kumar; Rizvi, Jamal; Goel, Rajiv; Modi, Pranjal

doi:10.1016/j.transproceed.2007.01.059

Cited by 24 publications

(14 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are few case series which have shown that the short-and medium-term results are excellent both in donor and recipient follow-up after bench ureteroscopy [12][13][14][15][16][17][18]. We need long-term results with large number of patients to establish bench URS/RIRS as treatment of choice for this specific category of patients.…”

Section: Resultsmentioning

confidence: 99%

Endourological management of live donors with urolithiasis at the time of donor nephrectomy: a single center experience

Pushkar¹,

Agarwal²,

Kumar³

et al. 2015

Int Urol Nephrol

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Endourological management of live donors with urolithiasis at the time of donor nephrectomy: a single center experience

Pushkar¹,

Agarwal²,

Kumar³

et al. 2015

Int Urol Nephrol

View full text Add to dashboard Cite

show abstract

“…1 Using ExURS, they were able to directly see the calculi and remove them using pneumatic fragmentation with forceps retrieval. In a retrospective review, Schade et al performed ExURS on 23 kidneys from living donors, identifying calculi in 19 kidneys.…”

Section: Discussionmentioning

confidence: 99%

“…Ex vivo ureteroscopy (ExURS) involves examination of the ureter after removal of the kidney from the patient; most of the literature documents its use in the evaluation of donor kidneys and treatment of donor kidney stone disease. 1–4 …”

Section: Introductionmentioning

confidence: 99%

Novel Use of Ex Vivo Uretero-Pyeloscopy in Autotransplantation: A Systematic Review and Case Report

Tnay

Elmer

Bolton

et al. 2015

Journal of Endourology Case Reports

View full text Add to dashboard Cite

Background: Autotransplant has been practiced for decades but is regaining popularity in the nephron-sparing era. Initially for benign disease, autotransplantation has a select role in malignant processes that warrants new techniques and ideas to ensure patient safety. We review the use of ex vivo uretero-pyeloscopy and frozen section to ensure kidneys may be utilized in a patient with suspected malignancy.Case Presentation: A systematic review (PRISMA standard) of ex vivo uretreo–pyeloscopy was undertaken. We then present the case of a 37-year-old Caucasian female who was suspected of having ureteral obstructing malignancy; she had previous treatment of the bladder with bacillus Calmette–Guerin (BCG) for recurrent urothelial malignancy. The lesion biopsies and cytology were suspicious but inconclusive, indicating nephroureterectomy was a likely course of management.Results: On reviewing the literature, we found that the use of ex vivo uretero-pyeloscopy has been described for urolithiasis to remove stones before transplantation but not specifically to exclude malignancy. Ultimately, in this case, the patient underwent a renal autotransplantation for obstruction that was caused by a granuloma on the background of the previous BCG treatment. Intraoperatively, ex vivo uretero-pyeloscopy and frozen section were crucial in guiding this case by allowing for appropriate identification and resection of the ureteral lesion. In addition, the preservation of ureteral length allowed for autotransplantation, which remains effective at follow-up.Conclusion: Ex vivo urteroscopy has been used effectively in donor kidneys to treat urolithiasis with minimal complications. We believe that this is the first documented case of ex vivo uretero-pyeloscopy being used effectively in renal autotransplantation to exclude urothelial malignancy.

show abstract

“…Trivedi et al had an equally successful experience with EVFUS in 3 cases [21]. Although one patient required posttransplantation ESWL for migration of a small lower caliceal calculus into the upper ureter found on postoperative imaging, there were no significant ureteral complications and at mean followup of 2.2 years no new stone had formed in either the recipient or donor.…”

Section: Discussionmentioning

confidence: 99%

Endourological Management of Urolithiasis in Donor Kidneys prior to Renal Transplant

et al. 2011

View full text Add to dashboard Cite

Background. We present our centres successful endourological methodology of ex vivo ureteroscopy (EVFUS) in the management of these kidneys prior to renal transplantation. Patient and Methods. A retrospective analysis was performed of all living donors (n = 157) identified to have asymptomatic incidental renal calculi from January 2004 until December 2008. The incidence of asymptomatic renal calculi was 3.2% (n = 5). Donors were subdivided into 2 groups depending on whether theydonated the kidney with the renal calculus (Group 1) versus the opposite calculus-free kidney (Group 2). Results. All donors in Group 1 underwent a left laparoscopic donor nephrectomy. The calculi were extracted in all 3 cases using a 7.5 Fr flexible ureteroscope either prior to transplant (n = 2) or on revascularization (n = 1). There were no urological complications in either group. At a mean followup at 64 months there was no recurrent calculi formation in the recipient in Group 1. However, 1 recipient formed a calculus in group 2 at a follow up of 72 months. Conclusions. Renal calculi can be successfully retrieved during living-related transplantation at the time of transplant itself using EVUS. This is technically feasible and is associated with no compromise in ureteral integrity or renal allograft function.

show abstract

Management of Calculi in A Donor Kidney

Cited by 24 publications

References 7 publications

Endourological management of live donors with urolithiasis at the time of donor nephrectomy: a single center experience

Endourological management of live donors with urolithiasis at the time of donor nephrectomy: a single center experience

Novel Use of Ex Vivo Uretero-Pyeloscopy in Autotransplantation: A Systematic Review and Case Report

Endourological Management of Urolithiasis in Donor Kidneys prior to Renal Transplant

Contact Info

Product

Resources

About