Surgical treatment of urological complications after kidney transplantation

Transplantation Proceedings
R KrólL Cierpka

Abstract

Urological complications after kidney transplantation develop in 2.5% to 14.1% of recipients. The aim of the study was to analyze postoperative urological complications that required surgical treatment. Thirty-three urological complications developed in 30 among 321 patients (9.3%). Complications were divided into two groups: I, related to urine retention (60.6%); and II, related to urine leakage (39.4%). For 70% of group I, in patients a double pigtail ureteral stent was inserted; for 53.8% of group II, a vesicoureteric reanastomosis was performed. Good urine outflow was achieved in 90.0% of patients. Total early graft loss was 20% of patients. Urological complications related to stenosis or leakage can be treated with ureteral stent insertion or vesicoureteral reanastomosis. Hemorrhage or infection coexisting with a urological complication increased the risk of early graft loss. Long-term graft survival among patients after successful treatment of urological complications was similar to that of patients without them.

References

Jul 1, 1994·Transplant International : Official Journal of the European Society for Organ Transplantation·H KellerG Kirste
Jan 1, 1995·The Journal of Urology·D A ShoskesP J Morris
Nov 1, 1993·British Journal of Urology·L C LinC G Koffman
Feb 1, 1997·Transplantation Proceedings·H MäkisaloJ Ahonen
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Citations

May 22, 2007·Transplant International : Official Journal of the European Society for Organ Transplantation·Ayhan DinckanAlper Demirbas
Oct 16, 2015·Der Urologe. Ausg. A·J PutzM P Wirth
Feb 17, 2015·Clinical Transplantation·Amir A Rahnemai-AzarLiise K Kayler
Feb 22, 2011·Transplantation Proceedings·M Giessing
Jun 12, 2012·The Journal of Surgical Research·Reza F SaidiDicken S C Ko
Nov 23, 2006·Transplantation Proceedings·G AgarwalJ M Cummings
Jul 22, 2021·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Mário Pereira LourençoArnaldo Figueiredo

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