Prolonged ureteral stenting in obstruction after renal transplantation: long-term results

Transplantation Proceedings
P PappasA Giannopoulos

Abstract

Renal transplantation is an effective treatment for end-stage renal disease. Ureteral stenosis is the most frequent urologic complication. We report our long-term follow-up results concerning endourologic treatment of ureteral obstruction after renal transplantation. Between May 1997 and September 2000, 15 patients with renal transplant obstructive uropathy were managed with percutaneous nephrostomy and prolonged ureteral stenting. Percutaneous nephrostomies were performed successfully in all 15 kidneys. In 13 patients, antegrade ureteral stenting was attempted, which was successful in 11 patients (85%). After prolonged ureteral stenting (mean duration 15 months), the stent was removed in all patients, 90% of whom had no recurrence. During follow-up (36 to 71 months; mean 51), urea, creatinine, sodium, and potassium determinations and ultrasound scans were performed. Success was defined as a reduction in hydronephrosis. No major complications were observed. Modern endourologic procedures have replaced open reconstructive surgery in most patients with ureteral obstruction after renal transplantation, because they may offer a definitive treatment with low morbidity.

References

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Citations

Aug 9, 2013·International Urology and Nephrology·Chunlai LiuPing Wang
Jun 15, 2013·Cardiovascular and Interventional Radiology·Jan H PeregrinOndřej Viklický
Sep 18, 2009·International Urology and Nephrology·Farid DadkhahMohammad Reza Safarinejad
Apr 5, 2012·Journal of the American Veterinary Medical Association·Nathaniel K LamDemetrius H Bagley
Apr 20, 2013·Journal of Vascular and Interventional Radiology : JVIR·J Scott KriegshauserJoseph G Hentz
Dec 26, 2007·Urology·Michael S IngberJay B Hollander
Oct 16, 2015·Der Urologe. Ausg. A·J PutzM P Wirth
Feb 13, 2008·Annales D'urologie·A Descazeaud
Nov 23, 2006·Transplantation Proceedings·G AgarwalJ M Cummings
Nov 16, 2005·Urology·Sero AndonianMaurice Anidjar
Feb 21, 2016·Transplant International : Official Journal of the European Society for Organ Transplantation·Justin KwongAlp Sener
May 3, 2006·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Lester S BordenDean G Assimos
Feb 16, 2018·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·E ArpaliH W Sollinger
Sep 29, 2011·Urologia Internationalis·Polytimi LeonardouParis Pappas
May 7, 2020·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Fatma Gonca EldemOkan Akhan

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