Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

Treatment of urinary complications after kidney transplantation

A Chmura, W Rowiński, J Wałaszewski, M Czaplicki, J Trzebicki, A Kwiatkowski

Ann Transplant 2009; 14(1): 52-53 :: ID: 880391


Background: Urinary complications after kidney transplantation can lead to the graft loss. We present different methods of treatment in diverse clinical situations.
Material/Methods: In the period of 1982-2008 we have transplanted 1500
kidneys in our Department, including 70 living related (5%). In this period 103 patients with urinary complications were treated (68 patients transplanted in our department and 35 referred from other transplant centres). In 63 patients complications occurred within 30 days post transplantation, in remaining 40- complications developed later on. Following urinary complications have been observed:
1. Early: • Urinary fistula 30; • Necrosis of the ureter 21; • Stricture of the urinary anastomosis 10; • Urinary anastomosis to the peritoneum 2; • Thrombus in kidney's pelvis and the ureter 1.
2. Late: • Stricture of the urinary anastomosis 39.
Methods: The following treatment was performed: • Uretero-vesical re-anastomosis; • Resection of the necrotic ureter and secondary anastomosis; • Resection of the ureter at the level of pelvis and anastomosis to the own ureter; • Reconstruction of the ureter with the Boari flop; • Ligation of the ureter and permanent nephrostomy; • Transcutaneous pyelostomy.
Results: In all but one cases good early and late results were obtained with
preservation of the function of transplanted kidney. In one fatal case the small arterial branch thrombosis resulted in necrosis of kidney's lower pool and massive ureter and pelvis necrosis. Patient lost the graft. In all other cases good technical and clinical result of performed surgery has been obtained.
Conclusions: Treatment of the urinary complications after renal transplantation requires surgical and urological experience of the operating team. Definite treatment should be intended during reconstructive surgery, since consecutive operations lead to a higher risk of a graft failure.

Keywords: Kidney Transplantation

Add Comment 0 Comments

In Press

Original article  

Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationsh...

Ann Transplant In Press; DOI: 10.12659/AOT.944176  

Original article  

Effect of the Organ Donation Quality System on Donation Activity of Warsaw Hospitals

Ann Transplant In Press; DOI: 10.12659/AOT.943520  

Original article  

Clonal Hematopoiesis-Associated Gene Mutations Affect Acute Graft-Versus-Host Disease After Hematopoietic S...

Ann Transplant In Press; DOI: 10.12659/AOT.943688  

Original article  

Impact of Recipient and Donor Body Mass Index on Survival Outcomes After Intestinal Transplantation: A Unit...

Ann Transplant In Press; DOI: 10.12659/AOT.943994  

Most Viewed Current Articles

05 Apr 2022 : Original article   12,201

Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver Transplantation

DOI :10.12659/AOT.935604

Ann Transplant 2022; 27:e935604

22 Nov 2022 : Original article   8,720

Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...

DOI :10.12659/AOT.937988

Ann Transplant 2022; 27:e937988

12 Jan 2022 : Original article   8,640

Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...

DOI :10.12659/AOT.934738

Ann Transplant 2022; 27:e934738

15 Mar 2022 : Case report   6,496

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358