Urological complications after renal transplantation - a single centre experience

Krajewski, Wojciech; Dembowski, Janusz; Kołodziej, Anna; Małkiewicz, Bartosz; Tupikowski, Krzysztof; Matuszewski, M; Chudoba, P.; Boratyńska, Maria; Klinger, Marian; Zdrojowy, Romuald

doi:10.5173/ceju.2016.833

Cited by 14 publications

(8 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…with transurethral resection of the prostate (TUR-P) is indicated, it may either be performed prior [ 17 ] or after KT, although low or missing urine output before transplantation seems to promote bladder neck and urethral scarring [ 18 ]. In analogy, urethral strictures can be safely treated endoscopically with urethrotomy or open reconstruction surgery in dependence of the extent and the localization of the stricture [ 19 , 20 ]. Using the endoscopic technique, it should be kept in mind that the risk of disease recurrence is elevated, compared to open urethral reconstruction.…”

Section: Special Features Of Pre-operative Preparation and Surgical Techniquesmentioning

confidence: 99%

Minimal-invasive management of urological complications after kidney transplantation

et al. 2021

View full text Add to dashboard Cite

Kidney transplantation represents the gold standard treatment option for patients with end-stage renal disease. Improvements in surgical technique and pharmacologic treatment have continuously prolonged allograft survival in recent years. However, urological complications are frequently observed, leading to both postoperative morbidity and putative deterioration of allograft function. While open redo surgery in these patients is often accompanied by elevated surgical risk, endoscopic management of urological complications is an alternative, minimal-invasive option. In the present article, we reviewed the literature on relevant urological postoperative complications after kidney transplantation and describe preventive approaches during the pre-transplantation assessment and their management using minimal-invasive approaches.

show abstract

Section: Special Features Of Pre-operative Preparation and Surgical Techniquesmentioning

confidence: 99%

Minimal-invasive management of urological complications after kidney transplantation

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Nevertheless, KT is a complex surgical procedure associated with post-operative complications that can reduce the intended benefits. Urological complications, such as obstruction and urine leaks typically range in incidence from 3.4% to 10% [1][2][3][4][5][6] with some studies reporting an incidence as high as 14 to 20%. [7][8] Aside from urinary tract infections, ureteral strictures are the most common urological complication following KT.…”

Section: Introductionmentioning

confidence: 99%

Ureteral strictures post-kidney transplantation: Trends, impact on patient outcomes, and clinical management

Minkovich¹,

Famure²,

Li³

et al. 2021

CUAJ

View full text Add to dashboard Cite

Introduction: Ureteral strictures post-kidney transplantation (KT) can be a significant morbidity to the patient, often requiring surgical intervention and impacting graft function. We sought to investigate the incidence, clinical management, and outcomes of ureteral strictures among kidney transplant recipients (KTRs) at a large, multi-organ transplant center. Methods: We conducted a single-center cohort study looking at KTRs who had transplant surgery from January 1, 2005 to March 31, 2017 with at least one-year followup (n=1742). Any KTRs done outside of our center or simultaneous multiorgan transplants were excluded. The Kaplan-Meier product-limit method was used to determine the incidence of ureteral strictures. Risk factors for ureteric strictures and clinical outcomes among patients with vs. without ureteric strictures were analyzed using Cox proportional hazards models. Results: The incidence of ureteral strictures was 1.31 (95% confidence interval [CI] 0.85, 2.01) per 100 person-years or a cumulative incidence of 1.2%. We did not find any donor or recipient demographic variables that were independently associated with an increased risk of ureteral stricture development. A large proportion was managed successfully with radiologic intervention alone (47.6%). Ureteral strictures were associated with death-censored graft failure (hazard ratio [HR] 7.17, 95% CI 2.81, 18.30), total graft failure (HR 3.04, 95% CI 1.41, 6.59), and hospital re-admission (HR 2.52, 95% CI 1.58, 4.00). Conclusions: Although uncommon, ureteral strictures can significantly impact patient outcomes after KT. A better understanding of risk factors and clinical management will be important to ensure optimal graft outcomes.

show abstract

“…Still number of renal allografts are lost due to urological complications especially in early posttransplant period (within 90 days). 8 The purpose of this review was to discuss different presentations and provide an evidence-based management plan for recipients who present with such complications in early post-transplant period.…”

Section: Introductionmentioning

confidence: 99%

Early Urological Complications After Live Related Renal Transplantation: An Update

Hossain

Karim

2020

Bangladesh Med Res Counc Bull

View full text Add to dashboard Cite

Background: Kidney transplant is the standard of care for end stage kidney disease and associated with immunological, vascular and urological complications. Urological complications remain the most common type of surgical complication in the early post-transplant period, inspite of major procedural advances many grafts are still being lost due to same. Objectives: The purpose of this review was to discuss the different presentations, compare various ureterovesical anastomosis techniques and provide a basic overview for the management of post-transplant urological complications hence to improve graft and patient survival. Methods: This study was a narrative review. Recent available literature was searched by keywords. The most recent information from relevant articles were collected and reviewed. This write up was compiled after the review of articles from the last 50 years. Results: Majority of these complications could be traced back to the time of retrieval and anastomosis of ureter. So, the high degree of suspicion, early detection, accurate diagnosis and timely management of urological complications occurring after kidney transplant were the key tasks of transplant team managing the patients. A delay in diagnosis or management of these complications could lead to morbidity to the recipient even graft loss and or mortality. Conclusion: To minimize the early complications of post kidney transplantation high degree of suspicion and prompt intervention is needed for graft and patient survival. Bangladesh Med Res Counc Bull 2020; 46(2): 68-72

show abstract

Urological complications after renal transplantation - a single centre experience

Cited by 14 publications

References 21 publications

Minimal-invasive management of urological complications after kidney transplantation

Minimal-invasive management of urological complications after kidney transplantation

Ureteral strictures post-kidney transplantation: Trends, impact on patient outcomes, and clinical management

Early Urological Complications After Live Related Renal Transplantation: An Update

Contact Info

Product

Resources

About