Results of secondary ureteral implantation after kidney transplantation

Abstract

Secondary ureteral implantation can be performed with acceptable morbidity and good long-term transplant outcome.

Surgical management of early and late ureteral complications after renal transplantation: techniques and outcomes

“…Widespread use of routine ureteral stenting during renal allograft transplantation (1,2), improved procurement methods, and lower perioperative steroid regimens (3) have decreased but not eliminated the overall incidence of ureteral complications. There are many large retrospective consecutive series (n = 789-2000) that have looked at the incidence of ureteral complications in the setting of renal allotransplantation (1,(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). The overall reported incidence ranges from 4.8 to 9.2% in these select studies; the stenosis rate ranges from 2.4 to 6.5%, and the urine leak rate ranges from 1.8 to 5.4%.…”

The safety aspects of accepting living kidney donors with pelvi-ureteric junction dysfunction

“…George et al reported PUJ complications occurred after about 6 years from kidney transplant [4]. While Doehn et al reported ureteral complications occurred after 2129 days [5]. These periods were far more than the follow-up time reported by Tisljar et al [1].…”

Simultaneous antegrade urography of the upper urinary tract and retrograde cystography combined with computed tomography imaging in the management of ureteral complications after renal transplantation

“…The main treatments for these complications are intracavitary therapy and open surgery, with the main goals being the reconstruction of the transplanted kidney's urinary tract, which thus frees the patient from undergoing a renal graft ostomy and the insertion of a long-term indwelling double J stent. The open surgery failure rate has been reported to be 7% to 8% (3,4), with multiple reasons for these failures evidenced, for example, inadequate preoperative preparation (5). This article aims to summarize the author's clinical experiences related to selecting the most appropriate preoperative surgical plan for a successful surgery.…”