The Treatment of Fistulae and Ureteral Stenosis After Kidney Transplantation

Marzi, Vincenzo Li; Filocamo, Maria Teresa; Dattolo, E.; Zanazzi, M.; Paoletti, Maria Cristina; Marzocco, M.; Villari, Donata; Salvadori, Maurizio; Nicita, Giulio

doi:10.1016/j.transproceed.2005.06.049

Cited by 41 publications

(32 citation statements)

References 6 publications

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“…These complications give way to an increase in morbidity rates and subsequently an increase in graft loss in patients 2 . According to the data presented in literature, the rate of post-renal transplantation complications like leakage, narrowness, and VUR varies between 2.5% and 14.1% 3 . In our case, the patient, who had recurrent urinary tract infection following renal transplantation, we determined VUR as revealed by examinations and analyses.…”

Section: Discussionmentioning

confidence: 99%

Treatment Selection for a Vesicoureteral Reflux Case following Renal Transplantation

Erikoğlu¹,

Taşçı²,

Balasar³

et al. 2016

Kafkas J Med Sci

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Section: Discussionmentioning

confidence: 99%

Treatment Selection for a Vesicoureteral Reflux Case following Renal Transplantation

Erikoğlu¹,

Taşçı²,

Balasar³

et al. 2016

Kafkas J Med Sci

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“…For distal ureteral necrosis, revision of the ureteroneocystotomy is advocated, as it obviates the need for dissection of the transplanted kidney itself. 1,6 In the setting of insufficient ureteral length, bladder mobilization with either a psoas hitch or Boari fl ap of the bladder may be utilized to reduce the distance from bladder to ureter. 6 When longer gaps need to be traversed, however, perhaps the best-suited tissue for the reconstruction of a necrotic allograft ureter is the recipient's native ipsilateral ureter.…”

Section: Discussionmentioning

confidence: 99%

Ureterocalicostomy to Salvage a Renal Allograft with Pyeloureteral Necrosis

Pais

Clark

Lucas

2008

Dialysis & Transplantation

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Necrosis of an allograft's renal pelvis and ureter is an uncommon but potentially devastating complication of renal transplantation. Although its occurrence may result in signifi cant morbidity-including graft loss-or mortality, reconstruction of the collecting system may save the transplanted kidney. We present a case of successful renal allograft salvage despite necrosis of the renal pelvis and ureter, utilizing a modifi ed ureterocalicostomy.

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“…El porcentaje de las complicaciones urológicas del trasplante renal ha ido variando a lo largo de los años debido a la prevención, diagnóstico y tratamiento precoz de las mismas 1 , destacando que la técnica quirúrgica del trasplante es la misma que la que se realizaba ya en el año 1960 2 .…”

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“…Este compromiso vascular genera un daño isquémico y consecuentemente una necrosis que afecta con mayor frecuencia al tercio distal del uréter 1 , pudiendo llevar a la pérdida del injerto en un 10 a un 15% de los casos 1 .…”

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Diagnóstico y tratamiento de las complicaciones urológicas del trasplante renal

et al. 2006

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RESUMEN DIAGNÓSTICO Y TRATAMIENTO DE LAS COMPLICACIONES UROLÓGICASDEL TRASPLANTE RENAL Objetivo: Analizar la incidencia de las complicaciones urológicas, fístulas y estenosis urinarias, observadas en nuestra serie de 282 trasplantes así como el tratamiento de las mismas.Material y métodos: Entre diciembre de 1995 y octubre de 2005, hemos realizado 282 trasplantes renales. La complicación urológica más frecuente ha sido la fístula urinaria observándose en 24 casos (8,5%), seguida de la estenosis ureteral en 18 casos (6,4%) y en 5 casos se observaron ambas complicaciones. Dentro de los datos recogidos de los pacientes destacamos el tiempo de diagnóstico, las técnicas de imagen empleadas, el tipo de catéter ureteral empleado y la evolución clínica.Resultados: El tratamiento endourológico mediante nefrostomía percutánea, catéter doble J y endoprótesis ha sido eficaz en el 76,4% de las fístulas urinarias, en el 66,7% de las estenosis ureterales y en el 60% de los pacientes que presentaron ambas complicaciones.Conclusión: El tratamiento endourológico ha reemplazado a las técnicas de cirugía abierta en el manejo de la mayoría de las estenosis ureterales y fístulas urinarias post-trasplante renal, al ser un tratamiento definitivo con una baja morbilidad asociada.Palabras clave: Trasplante renal. Complicaciones urológicas. Catéter. ABSTRACT DIAGNOSIS AND TREATMENT OF UROLOGICAL COMPLICATIONS IN KIDNEY TRANSPLANTSObjective: To analyze the incidence of urological complications, like fistula and stenosis in our series of 282 renal transplants and their management.Materials and methods: Between December 1995 and October 2005, 282 adult recipients underwent renal transplant .The most common urological complication was urinary fistula. This complication was observed in 24 cases (8.5%), ureteral stenosis in 18 cases (6.4%) and both of them in 5 (1.7%). The items recorded on these patients included the time to diagnosis, the image technique, the type of ureteral stents and the clinical evolution.Results: Endourologic treatment with percutaneos nefrostomy, double-J catheter and metalic endoprotesis was performed successfully in 76.4% of urinary fistula, in 66.7% of ureteral obstruction and in 60% of patients who developed both of them.Conclusion: Endourologic procedures have replaced open reconstructive surgery in most patients with ureteral obstruction or urinary fistula after renal transplant, because they may offer a definitive treatment with low morbidity.

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The Treatment of Fistulae and Ureteral Stenosis After Kidney Transplantation

Cited by 41 publications

References 6 publications

Treatment Selection for a Vesicoureteral Reflux Case following Renal Transplantation

Treatment Selection for a Vesicoureteral Reflux Case following Renal Transplantation

Ureterocalicostomy to Salvage a Renal Allograft with Pyeloureteral Necrosis

Diagnóstico y tratamiento de las complicaciones urológicas del trasplante renal

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