Results of pyeloureterostomy after ureterovesical anastomosis complications in renal transplantation

Native pyeloureterostomy after kidney transplantation: experience in 48 cases

“…A good option to treat complete necrotic ureter and pelvis is to use a vascularized small-bowel patch and the ipsilateral native ureter [33]. Like others, whose data were published recently, [27] the complication rate after NPUS in our clinic was also very low, although we prefer continuous -instead of interrupted suture lines which are described in the original Anderson-Hynes pyeloureterostomy. Because this technique preserves the normal ureteric orifice, retrograde catheterization is possible and a pigtail catheter can be inserted if necessary.…”

“…The incidence of urinary complications was appropriately low, and we have performed this technique with good results. Although newer endoscopic techniques are improving, [27] we still prefer NPUS to handle ureteral complications safely and definitively after renal transplantation.…”

Post-kidney Transplant Robot-assisted Laparoscopic Ureteral (Donor-receiver) Anastomosis for Kidney Graft Reflux or Stricture Disease

“…Hence open surgical revision is still the gold standard treatment of a significant proportion of ureteral complications, by means of ureterocysto-neostomy or uretero-pyelic/uretero-ureteral anastomosis 9,10 . When available and healthy, the native ureter is frequently used 9 , especially when addressing reflux, since it offers the protective efficiency of the native uretero-vesical junction.…”

“…When available and healthy, the native ureter is frequently used 9 , especially when addressing reflux, since it offers the protective efficiency of the native uretero-vesical junction. However, such open reconstructions require significant abdominal wall incisions 10 which are associated with a lengthy hospital stay and expose graft receivers to potential abdominal wall complications.…”

Reconstruction of necrotic kidney graft pelvis with a vascularized small bowel patch

“…Although percutaneous treatment may be sufficient in cases of minor leakage [Z], surgical reintervention is usually required. After resection of the necrotic segment, reconstruction is mostly achieved either by re-anastomosis of the shortened ureter into the bladder or, if the remaining ureter is too short for direct uretero-neocystostomy, by an anstomosis of the transplant ureter or pelvis to the recipient's native ureter (pyeloureterostomy) [14,161. When the necrosis extends to the distal pelvis, reconstruction with native ureter may still be feasible if sufficient vital pelvis remains.…”