[Diagnosis and treatment of urological complications in kidney transplants].

Abstract:

OBJECTIVE:To analyze the incidence of urological complications, like fistula and stenosis in our series of 282 renal transplants and their management. MATERIALS AND METHODS:Between December 1995 and October 2005, 282 adult recipients underwent renal transplant. The most common urological complication was urinary fistula. This complication was observed in 24 cases (8.5%), ureteral stenosis in 18 cases (6.4%) and both of them in 5 (1.7%). The items recorded on these patients included the time to diagnosis, the image technique, the type of ureteral stents and the clinical evolution. RESULTS:Endourologic treatment with percutaneos nefrostomy, double-J catheter and metalic endoprotesis was performed successfully in 76.4% of urinary fistula, in 66.7% of ureteral obstruction and in 60% of patients who developed both of them. CONCLUSION:Endourologic procedures have replaced open reconstructive surgery in most patients with ureteral obstruction or urinary fistula after renal transplant, because they may offer a definitive treatment with low morbidity.

journal_name

Actas Urol Esp

authors

Gonzalo Rodríguez V,Rivero Martínez MD,Trueba Arguiñarena J,Calleja Escudero J,Müller Arteaga C,Fernandez del Busto E

doi

10.1016/s0210-4806(06)73503-3

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

619-25

issue

6

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(06)73503-3

journal_volume

30

pub_type

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