Urological complications after kidney transplantation

Baston, C.; Sinescu, I.
September 2010
Romanian Journal of Urology;Sep2010, Vol. 9 Issue 3, p19
Academic Journal
Introduction. Urological complications can affect the outcome of kidney transplantations by increasing the morbidity and mortality, including the lost of the graft [1]. The aims of this study were to determine the incidence of urological complications occurring after renal transplantation in our centre. Materials and Methods. A series of 198 consecutive renal transplantations were performed between 1st of October 2007 and 31st of September 2009 at Institute of Uronephrology and Renal Transplantation Fundeni, Bucharest, Romania. Renal grafts were obtained in 123 cases (62.12%) from living-related and in 75 cases (37.88%) from cadaveric donors. Data were obtained from the patients clinical files about the prevalence of urological complications and their management. In all the cases we performed a Lich-Gregoire ureteroneocystostomy (UNCS) with minimal bladder wall dissection. Results. The overall incidence of urological complications was 8.58%. Diagnosis was established using clinical, laboratory and imaging methods. Ureteral leakage and ureteral stricture located at the ureterovesical anastomosis are the most common urological complication after renal transplantation. There was no graft loss or mortality in our study. Conclusions. Urological complications related to leakage or stenosis can be treated minimally invasive by ureteral stent insertion or by surgical vesicoureteral re-anastomosis. Graft survival after successful treatment was similar for all the patients in our study.


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