Abstract:
BACKGROUND:We reviewed our experience with ureteral complications and secondary ureteral implantation after kidney transplantation. METHODS:Between 1997 and 2005, 636 patients underwent kidney transplantation at our transplant center. Ureteral implantation was performed in the Lich-Gregoire technique. Thirty-one patients with ureteral complications after kidney transplantation and subsequent secondary ureteral implantation were analyzed for operative parameters and long-term transplant function. RESULTS:Twenty-seven patients had a ureteral stenosis and 4 patients a ureteral leakage. In 25 patients (81%), a resection of the distal transplant ureter followed by secondary ureteral implantation was performed. In 4 cases (13%), the native ureter was anastomosed to the transplant pelvis and in the remaining 2 cases (6%) to the transplant ureter. Three major complications occurred. At median follow-up of 5 years, 18/30 patients (60%) had a good transplant function and 12/30 patients (40%) had returned to dialysis. One patient with depression died from suicide. CONCLUSIONS:Secondary ureteral implantation can be performed with acceptable morbidity and good long-term transplant outcome.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Doehn C,Böse N,Meyer AJ,Jocham Ddoi
10.1007/s11255-010-9893-6subject
Has Abstractpub_date
2011-09-01 00:00:00pages
669-74issue
3eissn
0301-1623issn
1573-2584journal_volume
43pub_type
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journal_title:International urology and nephrology
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