The use of contralateral native pelvis and ureter for total transplant ureteric reconstruction

Mahdavi, Reza; Gholamrezaie, Hamid Reza

doi:10.1111/j.1464-410x.2004.04970.x

Cited by 5 publications

(7 citation statements)

References 4 publications

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“…Refashioning of the graft‐ureterocystostomy or suturing of smaller defects are therapeutic options. In case of failure of these limited surgical methods or in the presence of long ureteral strictures, ureteral leakage/ureteral necrosis, where total ureteric replacement is needed, ureteropyelostomy of the ipsilateral native ureter is an elegant surgical technique for reconstruction of the urinary tract . An advantage of the urinary tract reconstruction using the native ureter is the use of the physiologic anti‐reflux mechanism of the bladder.…”

Section: Discussionmentioning

confidence: 99%

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Native ureteropyelostomy: an effective therapy for urinary tract complications following kidney transplantation

et al. 2014

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Section: Discussionmentioning

confidence: 99%

“…The technique of pyelopyelostomy was first described by Carpus et al . and then by Wagner et al . The use of the contralateral native ureter has been described by Mahdavi and Gholamrezaie …”

Section: Introductionmentioning

confidence: 99%

Native ureteropyelostomy: an effective therapy for urinary tract complications following kidney transplantation

et al. 2014

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“…For the treatment of ureteral complications, reimplantation of the ureter according to Lich-Gregoir remains the standard in many institutions (10). Native ureteropyelostomy is an accepted alternative for stenosis and necrosis of the distal ureter (11)(12)(13). However, only a few cases were Abstract: Urological complications contribute to morbidity and graft loss after kidney transplantation.…”

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confidence: 99%

Treatment of ureteral complications after kidney transplantation with native ureteropyelostomy reduces the risk of pyelonephritis

Lehmann

Müller

Schiesser

et al. 2011

Clinical Transplantation

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Urological complications contribute to morbidity and graft loss after kidney transplantation. Aim of this study was to assess the role of revisional surgery on patient outcome. From 1997 to 2007, 887 patients underwent kidney transplantation in our institution. Clinical data of patients with urological complications were analyzed. Ureteral complications were observed in 50 of 887 (5.6%) recipients, including ureteral necrosis (0.9%), stenosis (3.6%) and ureteral reflux with recurrent graft pyelonephritis (1.1%). Thirty-five patients underwent native ureteropyelostomy, and 14 patients had redo-ureterocystostomy. All patients treated for recurrent graft pyelonephritis had no further episodes. Overall, the rate of ureteral stenosis was significantly higher after secondary surgery, compared to the primary anastomosis (10% vs. 3.6%, p = 0.039). A significantly lower incidence of graft pyelonephritis was observed in patients after native ureteropyelostomy compared to patients treated with redo-ureterocystostomy (p = 0.019). In conclusion, reflux and recurrent graft pyelonephritis can be treated effectively by secondary surgery. The use of native ureteropyelostomy may offer protection from graft pyelonephritis after secondary surgery.

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“…One such technique is the ureteropyelostomy or pyelo-pyelostomy using the native ureter. The technique was first described by Carpus et al and then by Wagner et al 10,11 The use of the contralateral native ureter has been described by Mahdavi and Gholamrezaie. 11 The utilization of the physiologic anti-reflux mechanism of the bladder is a known advantage in this technique.…”

Section: Discussionmentioning

confidence: 99%

“…The technique was first described by Carpus et al and then by Wagner et al 10,11 The use of the contralateral native ureter has been described by Mahdavi and Gholamrezaie. 11 The utilization of the physiologic anti-reflux mechanism of the bladder is a known advantage in this technique. Furthermore, it is relatively easy to perform and if carefully dissected, the blood supply of the native ureter could be preserved.…”

Section: Discussionmentioning

confidence: 99%

Complete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report

Fernando

Jayarajah

Rubakan

et al. 2018

Clinical Case Reports

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Key Clinical MessageComplete necrosis of the graft ureter is a rare but serious complication following kidney transplant. In a patient with antiphospholipid syndrome, a combination of factors such as arterial thromboembolism, hematoma formation, and surgical collateral damage can cause ischemia of the graft ureter. Preoperative optimization of disease activity and coagulation with meticulous preservation of ureteric perfusion may help in prevention.

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The use of contralateral native pelvis and ureter for total transplant ureteric reconstruction

Cited by 5 publications

References 4 publications

Native ureteropyelostomy: an effective therapy for urinary tract complications following kidney transplantation

Native ureteropyelostomy: an effective therapy for urinary tract complications following kidney transplantation

Treatment of ureteral complications after kidney transplantation with native ureteropyelostomy reduces the risk of pyelonephritis

Complete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report

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