Modified ureteroneocystostomy in kidney transplantation to facilitate endoscopic management of subsequent urological complications

Dadkhah, Farid; Asgari, Mohammad; Tara, Ahmad; Safarinejad, Mohammad Reza

doi:10.1007/s11255-009-9637-7

Cited by 7 publications

(2 citation statements)

References 13 publications

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“…If so, the wire or stent insertion may fail with or without ureteral stenosis. Many ureteroneocystostomy approaches have been described, each with its advantages and disadvantages [ 8 , 18 , 19 ]. The investigators suggest adjusting the vesico-ureteric anastomosis farther away from the suprapubic area after distending the bladder.…”

Section: Discussionmentioning

confidence: 99%

Retrograde ureteric stent insertion from percutaneous suprapubic access to the bladder in renal transplant recipients with ureteric stenosis: a novel minimally invasive technique

Dong-Zhai

et al. 2020

BMC Urol

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Background Ureteric stricture is a common and salvaging complications after renal transplantation. Two treatment methods are usually used, retrograde ureteral stent placement and percutaneous nephrostomy. The former has a higher failure rate, the latter has a great risk. Therefore, a safe and reliable treatment is needed. Case presentation A technique of retrograde insertion of ureteral stent was established, which was applicable in three transplant recipients with post-transplant ureteral stenosis, and the data was retrospectively recorded. The patients are 2 men and 1 woman, ages 44, 27 and 32 years. These patients underwent a total of five times of retrograde insertion of ureteral stent between 2018 and 2019. None of these patients had any postoperative complication, but all patients had complete recovery from oliguric status within two weeks. Conclusions The retrograde ureteric stent insertion by percutaneous suprapubic access to the bladder (RUS-PSAB) was demonstrated feasibility and safety in a case series with short-term follow-up. However, larger prospective studies are needed.

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Section: Discussionmentioning

confidence: 99%

Retrograde ureteric stent insertion from percutaneous suprapubic access to the bladder in renal transplant recipients with ureteric stenosis: a novel minimally invasive technique

Dong-Zhai

et al. 2020

BMC Urol

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“…This technique has been observed to substantially facilitate retrograde procedures and shorten the operative time. In a study by Dadkhah et al [53] comparing 2 UNC techniques, it was reported that the posterolateral extravesical UNC technique can be used to achieve easy and safe access to the upper urinary tract in kidney transplant recipients. In a series presented by Sarier et al [52], renal pelvic stones were easily removed from 2 pa-tients' transplanted kidneys using the modified Lich-Gregoir technique performed with only rigid URS without the need for flexible URS because a suitable passage to the upper urinary tract was established.…”

Section: Allograft Urolithiasismentioning

confidence: 99%

Update on the Management of Urological Problems Following Kidney Transplantation

Sarıer

Yayar²,

Yavuz³

et al. 2021

Urol Int

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Urological problems in kidney transplant recipients are not limited only to posttransplantation urological complications. These problems are a cause of significant patient mortality and morbidity that have wide-ranging effects on graft survival throughout the entire life of the graft. Ultimately, the transplant comprises a major portion of the urinary system; therefore, the transplant team should be prepared for foreseeable and unforeseeable urological problems in the short and long terms. These mainly include postoperative urological complications (urine leakage, ureteral stenosis, and vesicoureteral reflux), bladder outlet obstruction, and graft urolithiasis. In recent years, significant advances have been made in the management of urological complications, especially due to advances in endourologic interventions. The aim of this review is to summarize the management of urological problems after kidney transplantation in the context of the current literature.

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Routine intraoperative ureteric stenting for kidney transplant recipients

Wilson

Rix

Manas

2013

Cochrane Database of Systematic Reviews

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Modified ureteroneocystostomy in kidney transplantation to facilitate endoscopic management of subsequent urological complications

Abstract: Easy and safe access to the upper urinary tract in transplant recipients can be achieved using a PLEVUNC technique. This facilitates the endoscopic procedures in the case of urological complications and disorders.

Cited by 7 publications

References 13 publications

Retrograde ureteric stent insertion from percutaneous suprapubic access to the bladder in renal transplant recipients with ureteric stenosis: a novel minimally invasive technique

Retrograde ureteric stent insertion from percutaneous suprapubic access to the bladder in renal transplant recipients with ureteric stenosis: a novel minimally invasive technique

Update on the Management of Urological Problems Following Kidney Transplantation

Routine intraoperative ureteric stenting for kidney transplant recipients

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